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NEW YORK STATE DEPARTMENT OF HEALTH BUREAU OF COMMUNICABLE DISEASES CONTROLCONFIDENTIAL CASE REPORT Last Name: First Name: Phone Number: () Address: Street Number: Street: Locality: Zip Code: Date
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Begin filling out the form by entering your personal information such as your full name, contact details, and social security number.
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The department of healthform doh-389 is a form used for reporting certain health information to the Department of Health.
Healthcare providers and facilities are required to file department of healthform doh-389.
Department of healthform doh-389 can be filled out online on the Department of Health's website or submitted in physical form via mail.
The purpose of department of healthform doh-389 is to collect and track health data for public health purposes.
Information such as patient demographics, diagnosis, and treatment details must be reported on department of healthform doh-389.
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