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Hospital Owned ProviderBased Clinic Reporting 1 Fiscal Year Ended: 2 Hospital Name12/31/2021 License # Swedish Medical Center HAC.FS.00000001aThe number of provider based clinics owned or operated

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How to fill out doh form 346-094 hospital

01

Gather all necessary information such as patient's personal details, medical history, and treatment received at the hospital.

02

Ensure all sections of the form are filled out accurately and completely.

03

Use block letters to fill out the form to ensure legibility.

04

Provide detailed information regarding the hospital's name, address, and license number.

05

Include the date of admission and discharge for the patient.

06

Obtain necessary signatures from authorized personnel as required.

Who needs doh form 346-094 hospital?

01

Hospitals and medical facilities that need to report patient information to the Department of Health (DOH) are required to fill out form 346-094.

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What is doh form 346-094 hospital?

DOH form 346-094 hospital is a form used to report hospital data to the Department of Health.

Who is required to file doh form 346-094 hospital?

All hospitals are required to file doh form 346-094 to report their data.

How to fill out doh form 346-094 hospital?

Doh form 346-094 hospital can be filled out by providing the requested information such as hospital name, address, number of beds, patient admissions, and other relevant data.

What is the purpose of doh form 346-094 hospital?

The purpose of doh form 346-094 hospital is to collect and analyze data from hospitals to monitor healthcare performance and outcomes.

What information must be reported on doh form 346-094 hospital?

Information such as hospital name, address, number of beds, patient admissions, procedures performed, patient outcomes, and other relevant data must be reported on doh form 346-094 hospital.

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