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GARFIELD COUNTY HOSPITAL DISTRICT CONTROLLED SUBSTANCE CONSENT (attachment A) *Prescriptions are not given without the completion of this document PATIENT IDENTIFICATION: NAME: DOB: ADDRESS: CITY:
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Garfield County Hospital District is a special district that provides healthcare services in the Garfield County area.
All healthcare providers and entities operating within the Garfield County Hospital District boundaries are required to file.
To fill out the Garfield County Hospital District form, you must provide detailed information about your healthcare services, financials, and any changes in operations.
The purpose of the Garfield County Hospital District is to ensure that residents have access to quality healthcare services within the district.
Information such as patient demographics, services provided, financial statements, and any changes in operations must be reported on the Garfield County Hospital District form.
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