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STATE OF DELAWARE DSS DIVISION OF HEALTH CARE QUALITY OFFICE OF LONG TERM CARE RESIDENTS PROTECTION CNA RECERTIFICATION FORM Full Name: Mailing Address: Phone #: Please Print Legislate of Birth: Cert
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To fill out the Delaware Division of Healthcare application:
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- Provide all required personal information, such as name, address, and contact details.
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- Provide information about your healthcare coverage, including policy number and expiration date, if applicable.
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- Submit the completed application by mail or online, as per the instructions provided.

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The Delaware Division of Healthcare is a state agency responsible for regulating healthcare facilities and services in the state of Delaware.
Healthcare facilities, providers, and services operating in the state of Delaware are required to file with the Division of Healthcare.
To fill out the Delaware Division of Healthcare report, entities must submit the required information online through the designated portal or by mail.
The purpose of the Delaware Division of Healthcare is to ensure that healthcare facilities and services in the state meet established standards and quality of care.
Entities filing with the Delaware Division of Healthcare must report on patient demographics, services provided, quality measures, and any incidents or complaints.
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