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STATE OF ILLINOISHEALTH FACILITIES AND SERVICES REVIEW BOARD 525 WEST JEFFERSON ST.DOCKET NO: H04SPRINGFIELD, ILLINOIS 62761BOARD MEETING: January 24, 2017(217)7823516 FAX: (217) 7854111PROJECT NO:
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Obtain the 10-16-038 form from Advocate Sherman Hospital ASTC.
02
Fill out the patient's personal information, including name, address, date of birth, and contact information.
03
Provide details about the medical procedure or treatment in question.
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Submit the completed form to the appropriate department at Advocate Sherman Hospital ASTC.

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10-16-038-advocate-sherman-hospital-astc is a specific form or document related to Advocate Sherman Hospital that is used for reporting or compliance purposes.
Entities or individuals associated with Advocate Sherman Hospital who meet specific criteria set by regulatory agencies are required to file 10-16-038.
To fill out 10-16-038, one must provide accurate information as required on the form, including relevant data and any supporting documents needed for validation.
The purpose of 10-16-038 is to ensure compliance with healthcare regulations and to gather necessary data for reporting and operational assessments.
Information such as patient statistics, service metrics, and compliance with health regulations must be reported on the form.
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