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WORKSHEET FOR DETERMINING PROGNOSIS Liver Disease The purpose of this worksheet is to guide initial and recertification assessments. This is a guide only; clinical judgment is required in each case.

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What is liver disease - gateway?

Liver disease - gateway is a form used to report information about liver diseases and conditions.

Who is required to file liver disease - gateway?

Healthcare providers, hospitals, and clinics are required to file liver disease - gateway.

How to fill out liver disease - gateway?

Liver disease - gateway can be filled out online through a secure portal provided by the health department.

What is the purpose of liver disease - gateway?

The purpose of liver disease - gateway is to track and monitor the incidence of liver diseases in the population.

What information must be reported on liver disease - gateway?

Information such as patient demographics, diagnosis, treatment, and outcomes must be reported on liver disease - gateway.

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