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PM FORM 7.2GR GILA RIVER REGIONAL BEHAVIORAL HEALTH AUTHORITY TITLE XIX INSTITUTION FOR MENTAL DISEASE ADMISSION/DISCHARGE NOTIFICATION FORM Facility Information Date: Facility Name: Facility Address:
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pm form 72-grdoc is a document used for reporting certain information to the relevant authorities.
Entities or individuals specified by the regulations are required to file pm form 72-grdoc.
pm form 72-grdoc can be filled out by providing the requested information in the designated fields.
The purpose of pm form 72-grdoc is to ensure compliance with reporting requirements and to provide necessary information to the authorities.
pm form 72-grdoc typically requires information such as financial data, transactions, or any other relevant details.
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