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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY APPLICATION FOR INTENSIVE CARE SERVICE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH Reply to: HOSPITAL NAME 1. Name and qualifications of physician responsible

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What is application for intensive care?

Application for intensive care is a form that must be filled out by patients who require critical care in a medical facility.

Who is required to file application for intensive care?

Patients who need intensive medical care are required to file an application for intensive care.

How to fill out application for intensive care?

The application for intensive care must be filled out with accurate medical information and submitted to the appropriate medical facility or healthcare provider.

What is the purpose of application for intensive care?

The purpose of the application for intensive care is to ensure that patients receive the necessary critical medical attention and treatment.

What information must be reported on application for intensive care?

Information such as medical history, current health condition, and any specific medical needs must be reported on the application for intensive care.

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