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Thank you for completing and submitting this form to DPH. You will receive an acknowledgement letter that confirms our receipt of your complaint.. The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Division of Health Care Facility Licensure Certification Intake Unit 99 Chauncy Street Boston MA 02111 Fax 617-753-8165 Consumer / Resident / Patient Complaint Form Please answer all questions on both pages as fully and clearly as possible 1....
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What is intake unit?
Intake unit is a form or document used to gather initial information or data.
Who is required to file intake unit?
Those individuals or entities who are involved in the intake process are required to file intake unit.
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Intake unit can be filled out by entering relevant information in the specified fields or sections.
What is the purpose of intake unit?
The purpose of intake unit is to collect important data or details at the beginning of a process or procedure.
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Information such as name, contact details, date, and specific data related to the process may need to be reported on intake unit.
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