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Pre-License Filing *NOTICE * THIS FORM WAS REVISED IN OCTOBER 2013 PLEASE READ CAREFULLY THIS FILING IS REQUIRED FOR ALL HEALTHCARE FACILITIES THAT MUST SUBMIT TO ARCHITECTURAL REVIEW AND MUST BE
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This form was revised to update the information required for filing.
All individuals and organizations who meet the criteria set forth in the guidelines must file this form.
The form can be filled out electronically or manually, following the instructions provided in the updated guidelines.
The purpose of this form is to collect and report relevant information to the appropriate authorities.
The updated form requires information such as income, expenses, and other financial data to be reported accurately.
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