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STATE OF MARYLAND
DEPARTMENT OF HEALTH AND MENTAL HYGIENE (DHH)
OFFICE OF HEALTH CARE QUALITY (ONCE)Form Approved 6/8/2015
DHH Form AC.APP.1.0AMBULATORY CARE
APPLICATION FOR LICENSURE
1. GENERAL INFORMATION
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What is form approved 68?
Form approved 68 is a document used for reporting financial information to regulatory authorities.
Who is required to file form approved 68?
Any organization or individual that meets the criteria set by the regulatory authorities must file form approved 68.
How to fill out form approved 68?
Form approved 68 can be filled out either manually or electronically, following the instructions provided by the regulatory authorities.
What is the purpose of form approved 68?
The purpose of form approved 68 is to provide accurate financial information to regulatory authorities for compliance and monitoring purposes.
What information must be reported on form approved 68?
Form approved 68 requires reporting of income, expenses, assets, liabilities, and other financial information as specified by the regulatory authorities.
What is the penalty for late filing of form approved 68?
The penalty for late filing of form approved 68 may include monetary fines or other sanctions imposed by the regulatory authorities.
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