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PRINTED: 11/04/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:A. BUILDING: ___R 10/30/2019STREET

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How to fill out nc dhsr acls statement

01

Fill out personal information section including name, address, and contact details.

02

Provide information on your profession and license number.

03

List the courses or activities you have completed to meet the ACLS requirements.

04

Sign and date the statement to certify the information is accurate.

Who needs nc dhsr acls statement?

01

Healthcare professionals who are required to maintain their Advanced Cardiovascular Life Support (ACLS) certification.

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What is nc dhsr acls statement?

The NC DHSR ACLS statement, or North Carolina Department of Health Service Regulation Adult Care Licensure Section statement, is a required document that facilities must file to maintain compliance with state regulations.

Who is required to file nc dhsr acls statement?

Any facility in North Carolina that provides adult care services is required to file the NC DHSR ACLS statement.

How to fill out nc dhsr acls statement?

To fill out the NC DHSR ACLS statement, facilities must report specific information about their operations, staff, residents, and safety protocols.

What is the purpose of nc dhsr acls statement?

The purpose of the NC DHSR ACLS statement is to ensure that facilities providing adult care services are meeting state regulations and maintaining the health and safety of their residents.

What information must be reported on nc dhsr acls statement?

Facilities must report information about their staffing levels, training programs, resident demographics, safety measures, and compliance with state regulations.

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