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PRINTED: 10/12/2005 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Printed 10122005 - idph is a form used to report infectious diseases to the Illinois Department of Public Health.
Healthcare providers, laboratories, and other entities are required to file printed 10122005 - idph when they encounter reportable infectious diseases.
Printed 10122005 - idph can be filled out electronically or manually by providing information about the patient, disease, and other relevant details.
The purpose of printed 10122005 - idph is to monitor and control the spread of infectious diseases in the state of Illinois.
Information such as patient demographics, disease diagnosis, test results, and possible sources of infection must be reported on printed 10122005 - idph.
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