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SFDPH · 3/14/2017  · JV-220(B), JV-221, JV-222 (if applicable) and JV-223. VI. PROCEDURE A. Prescribers shall choose between the JV-220(A) and the JV-220(B) forms based on the

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Page 1: SFDPH · 3/14/2017  · JV-220(B), JV-221, JV-222 (if applicable) and JV-223. VI. PROCEDURE A. Prescribers shall choose between the JV-220(A) and the JV-220(B) forms based on the
Page 2: SFDPH · 3/14/2017  · JV-220(B), JV-221, JV-222 (if applicable) and JV-223. VI. PROCEDURE A. Prescribers shall choose between the JV-220(A) and the JV-220(B) forms based on the
Page 3: SFDPH · 3/14/2017  · JV-220(B), JV-221, JV-222 (if applicable) and JV-223. VI. PROCEDURE A. Prescribers shall choose between the JV-220(A) and the JV-220(B) forms based on the
Page 4: SFDPH · 3/14/2017  · JV-220(B), JV-221, JV-222 (if applicable) and JV-223. VI. PROCEDURE A. Prescribers shall choose between the JV-220(A) and the JV-220(B) forms based on the