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New Jersey Department of Health For NJ DOH Use Only AVIAN INFLUENZA SCREENING INFORMATION Date: / / Instructions: Fax completed form to: Reviewer: REPORTING INFORMATION Reported By: E#: CD RSS #:
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How to fill out cds-25 njdohdot - state:

01
Obtain the cds-25 njdohdot - state form from the New Jersey Department of Health (NJDH).
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Read the instructions provided with the form carefully to understand the required information.
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Begin by filling out the personal information section, which usually includes your name, address, contact details, and any other requested details about yourself.
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Submit the filled-out cds-25 njdohdot - state form to the designated department or address as indicated on the form or in the accompanying instructions.

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cds-25 njdohdot - state is a form used by the New Jersey Department of Health to report certain health data.
Healthcare facilities and providers in New Jersey are required to file cds-25 njdohdot - state.
To fill out cds-25 njdohdot - state, healthcare facilities and providers need to provide specific health data as requested on the form.
The purpose of cds-25 njdohdot - state is to collect and monitor health data to improve public health outcomes in New Jersey.
Information such as patient demographics, diagnosis codes, and treatment provided must be reported on cds-25 njdohdot - state.
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