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SUNYCANTON20 Hostname:POLICEACADEMYREGISTRATION/BILLINGFORMFirst:), OD a. Security#:. Street Address: Middle Initial:. . Date of Birth:City, State, Zip: Home Phone: Cell Phone:./ Polite Agency Name:Sheriff/Chief:.,
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To fill out OD AI, providers must collect relevant data on overdose cases, complete the required form, and submit it through the designated online portal.
Information required includes patient demographics, types of substances involved, circumstances of the overdose, and treatment received.
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