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PRINTED: 12/07/2022 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:WALNUT CREEK ALZHEIMER\'S (X4)
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What is walnut creek alzheimers?
Walnut Creek Alzheimer's is a form for reporting Alzheimer's diagnosis and related information.
Who is required to file walnut creek alzheimers?
Healthcare providers and facilities are required to file Walnut Creek Alzheimer's form.
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The form can be filled out online or by submitting a physical copy with all required information.
What is the purpose of walnut creek alzheimers?
The purpose of Walnut Creek Alzheimer's form is to track and report cases of Alzheimer's for research and statistical purposes.
What information must be reported on walnut creek alzheimers?
Information such as patient demographics, date of diagnosis, severity of symptoms, and any treatments or therapies being used must be reported on the form.
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