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STATE OF INDIANA State Department of ToxicologyApplication for Ignition Interlock Device Model Certification Instructions for completing this application: Before you begin completing this application,

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The Indiana State Department of Health is responsible for regulating public health in the state of Indiana.

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Healthcare facilities and providers in Indiana are required to file reports with the Indiana State Department of Health.

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The Indiana State Department of Health provides online forms and instructions for filling out and submitting reports.

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The purpose of the Indiana State Department of Health reports is to monitor and improve public health outcomes in the state.

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Information such as patient demographics, medical diagnoses, and treatment outcomes must be reported on Indiana State Department of Health forms.

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