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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15006102/02/2017FORM
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To fill out Daviess Community Hospital registration form, follow these steps:
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Start by obtaining the registration form either from the hospital's front desk or their website.
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Fill in your personal information accurately, including your full name, date of birth, address, and contact details.
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Provide your insurance information, including the name of your insurance company and your policy number.
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Indicate your preferred method of payment and any special instructions, if applicable.
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Review the completed form for any errors or missing information.
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Submit the form to the hospital staff either in person or through their online submission portal.

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Anyone requiring medical services in the Daviess community can benefit from Daviess Community Hospital.
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Daviess Community Hospital is a healthcare facility located in Daviess County, Indiana.
All healthcare facilities and providers operating within Daviess County are required to file Daviess Community Hospital.
To fill out Daviess Community Hospital, healthcare providers need to provide information about the services they offer, patient demographics, and financial data.
The purpose of Daviess Community Hospital is to collect data on healthcare services provided in Daviess County and analyze healthcare trends.
Information such as patient admissions, procedures performed, outcomes, and financial data must be reported on Daviess Community Hospital.
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