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PRINTED: 07/13/2022 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X3) DATE SURVEY COMPLETE DRC

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What is indiana state department of?

The Indiana State Department of Health is responsible for regulating public health in the state of Indiana.

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Certain healthcare facilities and providers are required to file reports to the Indiana State Department of Health.

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To fill out the Indiana State Department of Health forms, you must provide accurate and complete information about the relevant healthcare facility or provider.

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The Indiana State Department of Health collects data to monitor and improve public health outcomes in the state.

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Information such as patient demographics, medical procedures, and healthcare outcomes must be reported on the Indiana State Department of Health forms.

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