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FORM ORT1 REVISED 03/2014 THIS REPORT IS DUE ON OR BEFORE APRIL 15, 2014, STATE HEALTH PLANNING AND DEVELOPMENT AGENCY MAILING ADDRESS (U.S. Postal Service) STREET ADDRESS (Commercial Carrier) PO
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Page 1 state health is a form that reports health information to the state authorities.
All health care providers and institutions are required to file page 1 state health.
Page 1 state health should be filled out with accurate and up-to-date health information.
The purpose of page 1 state health is to ensure that the state has information on the health status of its residents.
Page 1 state health must report information such as patient demographics, diagnosis, treatment, and outcomes.
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