Get the free DOH FORM 346-094 Hospital Owned Provider-Based Clinic Reporting

Hospital Owned ProviderBased Clinic Reporting 1 Fiscal Year Ended: 2 Hospital Name12/31/17License # Skagit County Public Hospital District No. 2, DBA Island Hospitable number of provider based clinics

How to fill out doh form 346-094 hospital

How to fill out doh form 346-094 hospital

1. Start by downloading the DOH Form 346-094 Hospital from the official Department of Health (DOH) website.
2. Review the instructions provided on the form to have a clear understanding of the required information.
3. Fill in the heading section with the name of the hospital, its address, and contact information.
4. Provide the required details under each section of the form, such as patient information, diagnosis, treatments, medications, and outcomes.
5. Ensure the accuracy of the information provided and double-check for any errors before submission.
6. If there are any attachments or supporting documents required, make sure to include them along with the form.
7. Once the form is complete, sign and date it to validate the information provided.
8. Submit the filled-out DOH Form 346-094 Hospital to the designated authority or department as instructed.

Who needs doh form 346-094 hospital?

1. DOH Form 346-094 Hospital is required by healthcare facilities and hospitals for reporting and documentation purposes.
2. It is typically filled out by hospital staff, including doctors, nurses, and administrative personnel.
3. The form helps in maintaining proper records, tracking patient outcomes, and complying with regulatory requirements.
4. It may also be used for statistical analysis, research purposes, and to facilitate communication between healthcare providers.

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What is doh form 346-094 hospital?

DOH Form 346-094 is a standardized form used by hospitals to report specific data to the Department of Health.

Who is required to file doh form 346-094 hospital?

Hospitals and healthcare facilities licensed by the Department of Health are required to file DOH Form 346-094.

How to fill out doh form 346-094 hospital?

To fill out DOH Form 346-094, follow the instructions provided on the form, ensuring that all sections are completed accurately, including facility information, patient details, and relevant statistics.

What is the purpose of doh form 346-094 hospital?

The purpose of DOH Form 346-094 is to collect essential data for health oversight, research, and policy-making in the healthcare sector.

What information must be reported on doh form 346-094 hospital?

The form requires reporting information such as patient demographics, types of services rendered, financial data, and other relevant health statistics.