Get the free www.in.gov reports QAMISPRINTED: 09/01/2021 DEPARTMENT OF HEALTH AND HUMAN ... - Ind...

06/28/2019PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION

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How to fill out wwwingov reports qamisprinted 09012021

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8. Fill out the required information in the designated fields or sections of the report.
9. Double-check your entries to ensure accuracy and completeness.
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11. If required, keep a copy of the filled-out report for future reference.

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