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Get Quarterly Work Report - Alaska Department Of Health And Social ...

The SHARP program must verify that each participant has been delivering primary care services at the specified practice site during the past quarter. Please confirm this by completing this form, signing and then sending it to SHARP program office. Reporting Period Quarter Jan-Mar Apr-Jun July-Sept Oct-Dec End-date 31-Mar 30-Jun 30-Sep 31-Dec Check one period Report Due - NLT 30-Apr 31-Jul 30-Oct 31-Jan Part 1: Practitioner Information Practitioner Name Email & Phone number SHARP-authorized.

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