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PROGRAM REGISTRATION FORM TO BE COMPLETED BY ALL PARTICIPANTS; Cancer Patients, Survivors and Family Members DATE: NAME: ADDRESS: CITY:STATE:HOME PHONE:WORK PHONE:OPCODE: CELL PHONE:EMAIL: MALE/FEMALE
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The Maryland Department of Health is a state government agency responsible for promoting and protecting the health and well-being of all Maryland residents.
Healthcare facilities, healthcare providers, and certain other entities are required to file reports with the Maryland Department of Health.
To fill out the Maryland Department of Health reports, entities must provide accurate information about their healthcare activities and compliance with state regulations.
The purpose of the Maryland Department of Health is to monitor and improve public health, ensure regulatory compliance in healthcare settings, and provide data for public health research.
Entities must report information such as patient demographics, healthcare services provided, infectious disease outbreaks, and other relevant data.
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