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Data Request (This form MUST be typed*) Requester Information Request Date: Name: Organization: Address: City, Telephone: Fax: Email: Address 2: Zip Code:Type of Data Request Identifiable (nonpublic)

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What is utah department of health?

The Utah Department of Health is a state government agency responsible for promoting and protecting the health of Utah residents.

Who is required to file utah department of health?

Healthcare facilities, healthcare providers, and certain other entities are required to file with the Utah Department of Health.

How to fill out utah department of health?

The Utah Department of Health provides online forms and instructions for entities to fill out and submit their required information.

What is the purpose of utah department of health?

The purpose of the Utah Department of Health is to monitor public health, track disease outbreaks, and ensure healthcare providers are meeting state regulations.

What information must be reported on utah department of health?

Entities must report information such as patient demographics, diagnosis codes, treatment provided, and outcomes of care.

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