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Officiated Treatment Application for Registration (Form HHS 224E) NC Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services Drug
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How to fill out form dhhs 224-e office-based
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01
Read the instructions carefully before filling out the form.
02
Gather all the required information and documents needed to complete the form.
03
Start by filling out the personal information section, including your name, address, and contact details.
04
Provide the necessary information about your office-based business, such as its name, location, and type of services provided.
05
Fill out the sections related to your employees, including their names, positions, and contact details.
06
If applicable, provide information about any licenses or certifications your office-based business holds.
07
Make sure to accurately report any financial information required, such as revenue and expenses.
08
Double-check all the information you have provided before submitting the form.
09
Submit the completed form dhhs 224-e office-based to the designated office or authority.
Who needs form dhhs 224-e office-based?
01
Healthcare providers operating office-based practices need to fill out form dhhs 224-e office-based.
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Any individual or organization involved in delivering medical, dental, or allied health services in an office setting must complete this form.
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This form is required by the Department of Health and Human Services (DHHS) for ensuring proper oversight and regulation of office-based healthcare practices.
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