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Variance Request Form Utah Department of Health, Child Care Licensing Program (11/14) 1. Identifying Information Name of Facility/Provider Address (City) This request is for a: New Variance (Zip)
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The Utah Department of Health is a state government agency responsible for promoting and protecting the health of Utah residents.
Healthcare facilities and providers in Utah are required to file with the Utah Department of Health.
To fill out the Utah Department of Health forms, healthcare facilities and providers need to provide accurate information about patient demographics, diagnoses, treatments, and outcomes.
The purpose of the Utah Department of Health is to track and analyze health data to improve public health outcomes, identify health trends, and allocate resources effectively.
Information such as patient demographics, diagnoses, treatments, outcomes, and healthcare provider details must be reported on the Utah Department of Health forms.
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