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Part 3, Chapter 12: Manual Exhibit 3-12.8A

Area Health Educator Quarterly Report Form

TO: Director, Indian Health Service
Attention:  Chief, Health Education Branch
THROUGH:  Director, (Name of Area), IHS

FROM: Chief, Area Health Education Branch

SUBJECT: Quarterly Report for (Quarter)________________ (Fiscal Year)__________


  1. Community/Tribal Health Developments
  2. School
  3. Patient Services
  4. Staff Support Services
  5. Special Events
  6. Projected Activities
  7. Attachments
    1. Projects written up or project reports.
    2. Materials developed or adapted.

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