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Reset Form Print Form N.C. Department of Health and Human Services (NCD HHS) PRIOR CREDITABLE STATE SERVICE VERIFICATION FORM Instructions: This form is used to verify if you have prior creditable
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How to fill out the NC Department of Health:

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Visit the official website of the NC Department of Health.
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The NC Department of Health is a state agency responsible for protecting and promoting the health of the residents of North Carolina.
Healthcare facilities and providers are required to file with the NC Department of Health.
The NC Department of Health provides forms and instructions on their website for healthcare facilities and providers to fill out.
The purpose of the NC Department of Health is to ensure the health and safety of the public through regulation and monitoring of healthcare facilities and providers.
Information such as patient demographics, medical conditions, treatments, and outcomes may need to be reported on the NC Department of Health forms.
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