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LOCAL GOVERNMENT AGREEMENT, ATTACHMENT AM) <br />VIRGINIA DEPARTMENT OF HEALTH <br />COMMUNITY HEALTH SERVICES <br />OPTIONAL PUBLIC HEALTH SERVICES <br />For Each Service Provided, Check Block for Highest Income Level Served <br />COMMUNICABLE DISEASE SERVICES <br />Income <br />A only <br />Defined by <br />Federal <br />Re ulations <br />All <br />Foreign Travel Immunizations <br />x <br />Other: <br />CHILD HEALTH SERVICES <br />Disabled disability Waiver Screenings <br />DMAS MOA Code link- 32_L- ,UQOther: <br />x <br />Other <br />MATERNAL HEALTH SERVICES <br />Income <br />A only <br />Defined by <br />Federal <br />Regulations <br />All <br />Other: <br />FAMILY PLANNING SERVICES <br />Income <br />A only <br />Defined by <br />Federal <br />Regulations <br />All <br />Nutrition Education <br />x <br />Preventive Health Services <br />x <br />Pre - Conception Health Care <br />Other: <br />MEDICAL SERVICES - Please identify services <br />Income <br />A only <br />Defined by <br />Federal <br />Regulations <br />All <br />Community Education <br />x <br />Outreach <br />x <br />Pharmacy Services - Alternate Drug Delivery <br />x <br />Revised 07`2418 <br />