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FAX to Center for Alcohol and Drug Treatment at 5096629441 See Case Definition on Reverse of this form Submit Report Within 48 Hours of Event DRUG OVERDOSE REPORTING FORM PATIENT INFORMATION FOR FOLLOWUP1stName:
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To fill out the reporting form for Chelan-Douglas, follow these steps:
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Start by downloading the reporting form from the official Chelan-Douglas website.
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The reporting form - chelan-douglas is a document used by individuals or entities to report specific information as required by the Chelan-Douglas Health District.
Individuals or entities that engage in activities regulated by the Chelan-Douglas Health District are required to file the reporting form.
To fill out the reporting form - chelan-douglas, follow the instructions provided on the form, fill in the required information accurately, and ensure all necessary documentation is attached.
The purpose of the reporting form - chelan-douglas is to collect data and information that assist in monitoring health standards and regulatory compliance within the Chelan-Douglas area.
The information that must be reported includes the name of the individual or entity, type of activity, relevant dates, and any other specific data required by the health district.
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