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NEW YORK STATE DEPARTMENT OF HEALTH Medicaid Health Home, Health Home. Health Home,
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DOH 5058 is a form used in public health reporting, specifically for reporting certain health-related data to the Department of Health.
Health care providers, facilities, and organizations that are mandated by law or regulation to report specific health data must file DOH 5058.
To fill out DOH 5058, gather the required health data, complete all sections of the form accurately, and submit it to the appropriate health department contact.
The purpose of DOH 5058 is to collect and manage essential health data to support public health initiatives and disease monitoring.
DOH 5058 requires reporting information such as patient demographics, diagnosis, treatment details, and any other relevant health information specified by the reporting guidelines.
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