WebState of California — Health and Human Services Agency Department of Health Care Services DHCS 7098 B (Rev 12/14) SHA (7 – 12 Months) Page 1 of 2 Staying Healthy Assessment ... State of California — Health and Human Services Agency Department of Health Care Services . DHCS 7098 B (Rev 12/14) SHA (7 – 12 Months) Page 2 of 2 . 11 . WebState of California — Health and Human Services Agency Department of Health Care Services DHCS 7098 H (Rev 12/13) SHA (Adult) Page 2 of 2 19 In the past year, have you had: (men) No5 or more alcohol drinks in one day? (women) 4 or more alcohol drinks in one day? Yes Skip 20 Do you use any drugs or medicines to help you sleep, relax,
Form DHCS9098 Download Fillable PDF or Fill Online
WebState of California — Health and Human Services Agency Department of Health Care Services DHCS 7098 G (Rev 12/14) SHA (12 – 17 Years) Page 1 of 2 Staying Healthy … WebJan 1, 2024 · DHCS 7098 A - Staying Healthy Assessment 0-6 Months. DHCS 7098 B - Staying Healthy Assessment 7-12 Months. DHCS 7098 C - Staying Healthy Assessment 1-2 Years ... The main CHADIS interface can be viewed by patients in both English and Spanish with core questionnaires available in English, Spanish, Mandarin Chinese, and … sys roll
Form DHCS7098 C "Staying Healthy Assessment: 1-2 Years" - California
http://www.sfhp.org/wp-content/files/providers/forms/DHCS%207098%20I%20ENGLISH_SHA_Senior%2012.13_Writable.pdf#:~:text=State%20of%20California%20%E2%80%94%20Health%20and%20Human%20Services,last%29%20DHCS%207098%20I%20%28Rev%2012%2F13%29%20SHA%20%28Senior%29 http://sfhp.org/wp-content/files/providers/forms/DHCS%207098%20H%20ENGLISH_SHA_Adult%2012.13_Writable.pdf WebState of California – Health and Human Services Agency Department of Health Care Services DHCS 7098 A (Rev 12/13) SHA (0 – 6 Months) Page 1 of 2 Staying Healthy … sys requirements for windows 11