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ILLINOIS DEPARTMENT OF PUBLIC HEALTH BASIC NURSE ASSISTANT TRAINING PROGRAM MASTER SCHEDULE Page 1 (Rev 01/2018)PROGRAM NUMBER NA# PROGRAM NAME AddressSTART Capacity/State/This is a/a morning classes
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Start by gathering all the necessary information and documents required for filling out the IDPH form. This may include personal identification documents, medical records, and any other relevant information.
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Carefully read and understand the instructions provided on the IDPH form. Make sure you comprehend each section and what information is being asked for.
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Begin filling out the form by entering your personal details, such as your name, address, contact information, and any other required identifying information.
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Move on to the specific sections of the form that pertain to the purpose of the IDPH office use only. Follow the instructions within these sections to provide the requested information.
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Double-check all the information you have entered to ensure accuracy and completeness. Any mistakes or missing details can delay the processing of the form.
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Sign and date the form wherever required. Additionally, provide any required additional documentation or supporting materials if mentioned in the form's instructions.
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Make a copy of the completed form and all supporting documents for your records.
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Submit the filled-out form and accompanying documents to the IDPH office as per the instructions provided on the form or their official website.
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Follow up with the IDPH office if necessary to inquire about the status of your application or for any further information they may require.

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Idph office use only is a section designated for internal use by the Illinois Department of Public Health.
Certain healthcare facilities and providers in Illinois may be required to file idph office use only.
Idph office use only should be completed according to the guidelines provided by the Illinois Department of Public Health.
The purpose of idph office use only is to ensure accurate and confidential record-keeping within the Illinois Department of Public Health.
Specific details regarding healthcare facilities and providers may be required on idph office use only.
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