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1.2019 Coaches Conference | Indianapolis, IN | 2.0 Zeus Name ___ NSA Member # Institution/Company___Credentials___ Address ___ Phone ___ City/State/Zip ___ Email ___ Emergency Contact Name and Phone
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The Indiana State Clinic is a medical facility in Indiana that provides healthcare services.
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All healthcare providers in Indiana are required to file information with the Indiana State Clinic.
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To fill out the Indiana State Clinic form, healthcare providers must provide detailed information about their practice and patients.
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The purpose of the Indiana State Clinic is to collect data on healthcare services in Indiana for analysis and monitoring.
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Information such as patient demographics, medical services provided, and outcome measures must be reported on the Indiana State Clinic form.
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