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1.00PRINTED: 2/3/2021 FORM APPROVED Pennsylvania Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (POC)(XI) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION:
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Start by gathering all the necessary information and documents required for the 2567-l report.
02
Fill out the patient's personal information including name, date of birth, and contact information.
03
Provide details about the abortion procedure including the date it was performed and the type of procedure.
04
Document any complications or incidents that occurred during the procedure.
05
Sign and date the report once it is complete and ensure all information is accurate.

Who needs 2567-l report - abortiondocsorg?

01
Healthcare providers who have performed abortions and are required to report information to abortiondocsorg need the 2567-l report.
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The 2567-l report is a document that discloses information related to abortion services provided by medical facilities listed on abortiondocs.org.
Medical facilities listed on abortiondocs.org that provide abortion services are required to file the 2567-l report.
The 2567-l report must be filled out with accurate information regarding the number and type of abortion services provided by the medical facility.
The purpose of the 2567-l report is to track and monitor abortion services provided by medical facilities listed on abortiondocs.org.
The 2567-l report must include information on the number of abortions performed, type of procedures used, and any complications that may have occurred.
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