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PRINTED: 10/28/2020 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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A complaint and follow is a formal report filed by an individual or organization to address a specific issue or grievance.
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To fill out a complaint and follow, one must provide detailed information about the issue, including dates, names of involved parties, and any supporting documentation.
The purpose of a complaint and follow is to bring attention to a problem or concern and request resolution or action.
A complaint and follow must include specific details about the issue, any attempts at resolution, and contact information for the filer.
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