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PRINTED: 04/11/2022 FORM APPROVED Hawaii Dept. of Health, Office of Health Care Assurance STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:A. BUILDING:
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To fill out the Hawaii Dept of Health form, you will need to follow these steps:
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Obtain a copy of the form from the Hawaii Dept of Health website or visit a local health department office.
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The Hawaii Department of Health is a government agency in the state of Hawaii that is responsible for protecting and improving the health and well-being of the people in Hawaii.
Certain healthcare facilities and providers in Hawaii are required to file reports with the Department of Health.
Healthcare facilities and providers must fill out the required forms provided by the Hawaii Department of Health with accurate and up-to-date information.
The purpose of the Hawaii Department of Health is to monitor and ensure the health and safety of the residents of Hawaii through regulation, education, and enforcement.
The specific information that must be reported on the Hawaii Department of Health forms varies depending on the type of facility or provider.
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