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FOOMKA & SIYAASADA

INAAD KEENTO BALANTAAGA KOOWAAD

1. FOOMKA DIIWAAN GELINTA BUKAANKA- INGIRIISKA ama Isbaanishka

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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

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HADDII warqado warqad-bixineed, fadlan wac:

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FOOMKA CADDAYNTA DAKHLIGA SHAQAALAHA (loo shaqeeyahaagu waa inuu qorayyaa) 

AMA

LEDGER ISKA SHAQADA (haddii aad iskaa u shaqeysid)

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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 . 

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Registration Questions

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

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  • Income and household size

  • Race/ Ethnicity

  • Agricultural status

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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.

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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.

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

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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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