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PLEASE PRINT Referral Source Advertisement Friend Relative Employment Agency Last First Middle Phone Address Number Street City State Zip Code Affirmative Action Survey Government agencies require periodic reports on the sex ethnicity handicap and veteran status of applicants. This hospital is an equal opportunity/affirmative action employer under executive Order 11246 and the Pennsylvania Contract Compliance Regulations Under the Rehabilitation Act of 1973 and the Vietnam Era Veterans Act. I...
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Begin by obtaining all the necessary paperwork for the hospital registration process.
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What is this hospital is an?
This hospital is an electronic form used to report information about a hospital's services and facilities.
Who is required to file this hospital is an?
All hospitals are required to file this form.
How to fill out this hospital is an?
This form can be filled out online through the designated platform provided by the regulatory authority.
What is the purpose of this hospital is an?
The purpose of this form is to ensure transparency and accuracy in reporting information about hospital services and facilities.
What information must be reported on this hospital is an?
Information such as the hospital's service offerings, number of beds, staffing levels, and quality indicators must be reported on this form.
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