AGENCY: Department of Health and Human Services. Community Health and Well-Being. Division of Population Health. Office of Health Promotion and Prevention

SERIES: 81961
TITLE: Maternal and infant health dental program log
DATES: 1983-
ARRANGEMENT: Chronological

DESCRIPTION: This is a list of patients who have qualified for the program. It is used as a quick reference and to verify case numbers and program activities. The information includes the patient's name, the case number, the doctor's name, the date the baby is due, the date eligibility ends, and the date the case was referred to the doctor.

RETENTION

Retain for 1 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 06/1987

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year and then destroy.

APPRAISAL

Administrative

This record has administrative value only.

PRIMARY DESIGNATION

Private

---