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Document used for application, enrollment, registration or eligibility determination purposes.
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| Effective Date | Title - Owner - Description | |
08/15/2007 |
Complaint Forms -
Division of Public Health Services
Alcohol, Tobacco & Other Drug Prevention -
Smoking complaint forms. |
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03/13/2006 |
NH Smokers' Helpline -
Alocohol, Tobacco and Other Drug Services,
Tobacco Prevention & Contol Progam -
Fax form for healthcare providers to assist patients who state they are ready to make a quit attempt within the next 30 days. |
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