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LOCAL GOVERNMENT AGREEMENT, ATTACHMENT A0.i <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 />SPECIALTY CLINIC SERVICES • Plesse identify <br />services <br />Income <br />A only <br />Defined by <br />Federal <br />Re ulationa <br />All <br />Income <br />A only <br />Defined by <br />Federal <br />Regulations <br />All <br />DENTAL HEALTH SERVICES • Please identify <br />services <br />Revised 0712018 <br />