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AGE Digestive Health Recognition Program TM (DHCP) 2015 Colorectal Cancer Screening and Surveillance Module DATA COLLECTION FORM PROCEDURE INFORMATION Physician Name (First, Middle, Last): NPI: MAN:
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What is data collection form?
Data collection form is a document used to gather information from individuals or entities.
Who is required to file data collection form?
Anyone who has been requested to provide specific information or data.
How to fill out data collection form?
Fill out the form with accurate and complete information according to the instructions provided.
What is the purpose of data collection form?
The purpose of data collection form is to gather data for analysis, reporting or compliance purposes.
What information must be reported on data collection form?
The specific information required will vary depending on the purpose of the form.
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