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APPENDIX B Practice Assessment for EHR Acquisition Assessment: Demographics and Implementation of Electronic Health Records Clinic: Acumen Health Consultant (if appropriate): Date of Completion: /

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1. Begin by accessing the website mipcc.org.
2. Locate the "Resources" or "Documents" section on the website.
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4. Read the instructions provided at the beginning of the form to understand the purpose and requirements.
5. Fill out the form using the relevant information requested, such as personal details, contact information, and any other necessary data.
6. Double-check all the information you have entered to ensure accuracy and completeness.
7. If the form requires any supporting documents, make sure to attach them according to the instructions provided.
8. Once you have completed filling out the form and attaching any necessary documents, save a copy for your records.
9. Follow any submission instructions mentioned on the form or on the mipcc.org website, such as sending it via mail, email, or uploading it on a specific platform.

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