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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES OMB NO. 09380391×X1) PROVIDER×SUPPLIER×LIGAND PLAN OF CORRECTION10×19/2011FORM
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Souformrn Indiana Rehab Hospital-PCU is a form used for reporting patient care information at rehabilitation hospitals.
Rehabilitation hospitals are required to file the Souformrn Indiana Rehab Hospital-PCU form.
The Souformrn Indiana Rehab Hospital-PCU form can be filled out electronically or manually with the required patient care information.
The purpose of the Souformrn Indiana Rehab Hospital-PCU form is to report patient care information for rehabilitation hospitals.
The Souformrn Indiana Rehab Hospital-PCU form requires information such as patient demographics, medical history, treatment provided, and outcomes.
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