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FOOMKA & SIYAASADA

INAAD KEENTO BALANTAAGA KOOWAAD

1. FOOMKA DIIWAAN GELINTA BUKAANKA- INGIRIISKA ama Isbaanishka

2. FOOMKA MACLUUMAADKA CAAFIMAADKA- SOMALI ama Isbaanishka

3. WAXYAABAHA KU LIISKA BOOQASHADA_CC781905-5cde -3194-bb3b-136bad5cf58d_Liiska caddaynta ee Booqashada Diiwaangelinta

4. BAAQA ILKAHA OO KALIYA- TAARIIKHDA CAAFIMAADKA Ilkaha

HADDII warqado warqad-bixineed, fadlan wac:

FOOMKA CADDAYNTA DAKHLIGA SHAQAALAHA (loo shaqeeyahaagu waa inuu qorayyaa) 

AMA

LEDGER ISKA SHAQADA (haddii aad iskaa u shaqeysid)

Haddii aad xiisaynayso hindisaha erey iyada oo loo marayo Connect for Health Colorado adiga (ama xaaskaaga) waxaa lagu macneeyay noocyada loo-shaqeeyaha, fadlan magaca QALABKA CAYMISKA SHAQAALAHA

Registration Questions

As a Federally Qualified Health Center (FQHC), we are required to collect certain information annually as part of your patient registration, including:

  • Income and household size

  • Race/ Ethnicity

  • Agricultural status

Please note, that to receive care at our clinic and remain an active patient, you must complete income and household size annually.

DAAWEYNTA YAR 

18:18 waa inay la socdaan waalid ama mas'uul sharci ah marka ay booqdaan Salud markii ugu horeysay iyo sanadkii hal mar ka dib.

Waxaan fahamsanahay in jaamacada ama mas'uuliyiinta aanay mar walba diyaar u ahayn inay soo galaan nafistooda oo ay rabi karaan inay u oggolaadaan ilmo kale. si aad uga qaybgasho shuqullada kaligaa. Waalidka ama masuulka ah waxa uu u awoodo tan ka hor iftiiriya oo dhamaystiraya foomamka oggolaanshaha ee hoose.

OGGOLAANSHAHA Ilmaha aan qaan-gaarin inuu la socdo qof aan ahayn waalid/masuul

OGGOLAANSHAHA DAAWAYNTA AAN YAR YAR OO AAN WAALID/MAS'uul joogin

  • AUTHORIZATION FOR A MINOR TO BE ACCOMPANIED BY SOMEONE OTHER THAN A PARENT/GUARDIAN -
    English | Spanish

  • AUTHORIZATION FOR TREATMENT OF A MINOR WITHOUT A PARENT/GUARDIAN PRESENT - English | Spanish

Foomamka GUUD ee SALUD & SIYAASADDA 

SIYAASADDA QARSIGA AH - waxay qeexday sida Salud u warbixinta caafimaadkaaga

Oggolaanshaha xogta - xogta ku saabsan waxbarashada ballanta ee daahday & ee seegtay iyo caafimaadka

SALUD WAA GURIGAAGA CAAFIMAAD- wuxuu qeexayaa sida Salud ugu adeego sida Gurigaaga Caafimaadka

XUQUUQDA BUKAANKA & MAS'UULIYADAHA - waxay qeexday calaamad iyo samada Salud

MACLUUMAADKA TALLAALKA BAXA - si aad xogta tallaalka uga saartid adiga ama dhalashada

  Nidaamka Data Tallaalka Colorado

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