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Hospital Statement of Cost BHF Page 1Healthcare and Family Services, Bureau of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763General InformationPreliminaryName of Hospital: Illinois Valley
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Step 1: Obtain a copy of the Illinois Valley Community Hospital registration form.
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Step 2: Fill in your personal information, including your full name, address, date of birth, and contact details.
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Step 3: Provide your health insurance information, including the policy number and group ID.
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Step 4: Indicate any previous medical history or conditions that may be relevant.
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Step 5: Specify any medications you are currently taking.
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Step 6: Sign and date the form.
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Step 7: Submit the completed form to the Illinois Valley Community Hospital registration desk.

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Illinois Valley Community Hospital is a healthcare facility located in Peru, Illinois.
All healthcare facilities in Illinois are required to file Illinois Valley Community Hospital.
Illinois Valley Community Hospital can be filled out online through the designated portal on the hospital's website.
The purpose of Illinois Valley Community Hospital is to provide healthcare services to the community.
Illinois Valley Community Hospital must report patient data, financial information, and operational details.
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