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Massachusetts Department of Public Health Bureau of Substance Abuse Services REPORT OF DEATH OF PERSON IN TREATMENT Please FAX completed form to: BIAS / Office of Quality Assurance and Licensing Fax
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Step 1: Obtain the necessary forms from the Department of Public Health website or office.
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Step 2: Read the instructions carefully to understand the required information and supporting documents.
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Step 3: Complete the personal information section, including your full name, contact details, and identification number.
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Step 4: Provide details about the department or organization you represent, including its name, address, and purpose.
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Step 6: Attach any supporting documents, such as licenses, permits, or certifications.
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Step 7: Review the completed form for accuracy and completeness.
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Step 8: Submit the filled-out form and supporting documents to the Department of Public Health office either by mail or in person.
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Step 9: Follow up with the department to ensure that your application is being processed.
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Step 10: Once approved, comply with any additional requirements or regulations as specified by the Department of Public Health.
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Department of public health is a government agency responsible for overseeing public health initiatives and programs.
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