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Receive your screening results from Native Americans for Community Action. Follow-up with your primary care provider for further testing or assistance in tobacco cessation.
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Test results Native Americans for Community Action Native Americans forCommunity Action, Inc. MAIN OFFICE: 2717N.Steves Blvd.,Suite11 Flagstaff,Arizona86004-0708 FAX: (928) 526-0708 Phone: (928) 526-2968 FAMILY HEALTH CENTER 1500E.Cedar Ave.,Suite26 Flagstaff,Arizona 86004 FAX: (928) 773-9429 Phone: (928) 773-1245 Name: DOB: DateofScreening:Yourscreening results are as follows: Do you use tobacco? Yesor No Do you want to stop using tobacco? Yesor No Can NACAreferyou toASH line-for tobacco cessation? Yesor No Pleaseutilizethis information to followup withyourdoctororprimarycareprovider for furthertesting or information. Feel freetocontact us foranyquestions regarding this letter. Thankyou, NACA Health Promotion Team 928-773-1245, ext. 32
**Follow-up testingwith primarycareprovider office should bedone if valuesout-of-range. Blood Glucose (“bloodsugar”) Blo od Pre ssu re Blood Cholesterol ** This information is to serveas a screening tool and nota diagnostictool.