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STATE OF TENNESSEE DEPARTMENT OF HEALTH DIVISION OF HEALTH LICENSURE AND REGULATION OFFICE OF HEALTH CARE FACILITIES 227 FRENCH LANDING, SUITE 501 HERITAGE PLACE METROCENTER NASHVILLE, TENNESSEE 37243
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What is esrd form ph 3995?
ESRD Form PH 3995 is a form used for reporting and monitoring End Stage Renal Disease (ESRD) treatment.
Who is required to file esrd form ph 3995?
Healthcare providers, facilities, and organizations that provide treatment for End Stage Renal Disease (ESRD) are required to file the ESRD Form PH 3995.
How to fill out esrd form ph 3995?
The ESRD Form PH 3995 can be filled out by providing the required information such as patient details, treatment information, and other relevant data. It is recommended to follow the instructions provided by the appropriate healthcare governing body.
What is the purpose of esrd form ph 3995?
The purpose of ESRD Form PH 3995 is to collect information about the treatment and management of End Stage Renal Disease (ESRD) patients. This data is used for monitoring and improving the quality of ESRD care.
What information must be reported on esrd form ph 3995?
The ESRD Form PH 3995 typically requires information such as patient demographics, medical history, treatment details, laboratory results, and other relevant data related to the management of End Stage Renal Disease (ESRD).
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