Part 3, Chapter 12: Manual Exhibit 3-12.8B
Community Health Educator Quarterly Report Form
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TO:
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Area or Program Director, Indian Health Service
Attention: Area or Program Office Public Health Educator
THROUGH: Immediate Supervisor, (Name of Facility)
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FROM:
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Service Unit Public Health Educator, Community Health Educator, Community Health Education Assistant
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SUBJECT:
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Quarterly Report for(Location)________________(Date) __________
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- Community/Tribal Health Developments
- School
- Patient Services
- Staff Support Services
- Special Events
- Projected Activities
- Attachments
- Projects written up or project reports.
- Materials developed or adapted.
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