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LOCAL GOVERNMENT AGREEMENT, ATTACHMENT A(1.) <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 />Regulations <br />All <br />Foreign Travel Immunizations <br />X <br />Other: <br />CHILD HEALTH SERVICES <br />Disabled disability Waiver Screenings <br />DMAS MOA Code Link -3. L334Other: <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 />X <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 07/2018 <br />