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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance F00273 (03/2013)STATE OF WISCONSIN DHS 94, Wis. Admin. Code Page 1 of 17BEHAVIORAL HEALTH SERVICES INITIAL CERTIFICATION APPLICATION DHS
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The wwwdhswisconsingovformsf0behavioral health services initial is a form provided by the Wisconsin Department of Health Services for reporting behavioral health services.
All healthcare providers offering behavioral health services in Wisconsin are required to file the wwwdhswisconsingovformsf0behavioral health services initial form.
The wwwdhswisconsingovformsf0behavioral health services initial form can be filled out online or submitted via mail by providing accurate information about the behavioral health services offered.
The purpose of the wwwdhswisconsingovformsf0behavioral health services initial form is to collect data on behavioral health services provided in Wisconsin for analysis and resource allocation.
The wwwdhswisconsingovformsf0behavioral health services initial form requires reporting of the types of behavioral health services offered, number of patients served, and other relevant data.
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