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C&I PRESCRIPTIVE PROGRAM APPLICATION HVAC and FDS Preliminary Information Who should we contact with questions? ? Customer ? Contractor/Builder Total Project Cost: $ This is an application for a:

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What is campi prescriptive program application?

Campi prescriptive program application is a form that outlines the specific details of a prescribed program for a Campi-prescribed condition.

Who is required to file campi prescriptive program application?

Medical providers, practitioners, or institutions that are treating patients with Campi-prescribed conditions are required to file campi prescriptive program application.

How to fill out campi prescriptive program application?

Campi prescriptive program application can be filled out online or printed and submitted by mail, following the instructions provided on the form.

What is the purpose of campi prescriptive program application?

The purpose of campi prescriptive program application is to ensure that the prescribed treatment for Campi-prescribed conditions is being followed and tracked.

What information must be reported on campi prescriptive program application?

Campi prescriptive program application must include details of the prescribed treatment plan, patient information, and progress reports.

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