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H502.32003/17Page 1PENNSYLVANIA DEPARTMENT OF HEALTH MEDICAL CERTIFICATE NameBirthdateAddressParent or Guardian TelephonePlease circle present grade:K123456789101112OtherEnter month, day and year
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The Pennsylvania Department of Health is a state government agency responsible for promoting healthy lifestyles, preventing diseases, and ensuring the well-being of residents.
Healthcare facilities, healthcare providers, and certain other organizations are required to file with the Pennsylvania Department of Health.
To fill out the Pennsylvania Department of Health, organizations must provide specific information about their operations, services, and compliance with health regulations.
The purpose of the Pennsylvania Department of Health is to safeguard public health, promote healthy behaviors, and prevent the spread of diseases.
Information that must be reported on the Pennsylvania Department of Health includes patient data, healthcare outcomes, and compliance with health regulations.
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