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2018 Annual Hospital Questionnaire Part A : General Information 1. Identification:HOSP623Facility Name: CHI Memorial Hospital Georgia County: Caboose Street Address: 100 Gross Crescent Circle City:
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Obtain the necessary admission forms from the hospital or access them online.
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Provide your health insurance details, including the name of your insurance provider and your policy number.
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Fill out the section indicating your primary care physician, if applicable.
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Chi Memorial Hospital Georgia is a healthcare facility located in the state of Georgia.
Providers and healthcare facilities operating in Georgia are required to file chi memorial hospital reports.
The chi memorial hospital report can be filled out online through the designated portal provided by the state of Georgia.
The purpose of chi memorial hospital reports is to track healthcare data and ensure quality standards are being met.
Information such as patient demographics, services provided, and outcome measures must be reported on chi memorial hospital reports.
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