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ORIGINAL DATE: 12/93 REVISION DATE: 11/18 Home Health VIA, Inc. SUBJECT:SUPERVISION OF HOME HEALTH REPURPOSE:To ensure that all licensed clinicians comply with regulations, laws and agency standards

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Obtain a copy of the IAC 2117 form for human services441.

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Fill out personal information such as name, address, and contact information.

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Individuals who are receiving or applying for human services441 may need to fill out the IAC 2117 form.

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What is iac 2117 human services441?

IAC 2117 Human Services441 is a form used to report information related to human services in Iowa.

Who is required to file iac 2117 human services441?

All organizations providing human services in Iowa are required to file IAC 2117 Human Services441.

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What is the purpose of iac 2117 human services441?

The purpose of IAC 2117 Human Services441 is to gather data and information regarding human services activities in Iowa for reporting and analysis purposes.

What information must be reported on iac 2117 human services441?

Information such as services provided, number of clients served, funding sources, outcomes achieved, and other relevant data must be reported on IAC 2117 Human Services441.

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