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PRINTED: 10/25/2017 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Form investigation of complaint is a formal document used to report and investigate complaints regarding a particular issue or situation.
Any individual or entity who wishes to report a complaint and have it formally investigated is required to file form investigation of complaint.
Form investigation of complaint should be filled out completely, providing detailed information about the complaint, the parties involved, and any supporting evidence.
The purpose of form investigation of complaint is to ensure that complaints are properly documented, investigated, and resolved in a fair and efficient manner.
Information such as the nature of the complaint, the parties involved, any supporting evidence, and desired outcome must be reported on form investigation of complaint.
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