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SHEBOYGAN COUNTY PLANNING COMMISSION 870 SOUTH MAIN ST. PO BOX 70 SHEBOYGAN, MI 49721 PHONE: (231)6278489 FAX: (231)6273646CHEBOYGAN COUNTY PLANNING COMMISSION MEETING & PUBLIC HEARING WEDNESDAY,
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Obtain the burdco form from Otsego Memorial Hospital.
02
Fill in your personal information accurately including your name, address, date of birth, etc.
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Provide details about your insurance coverage or billing information if applicable.
04
Sign and date the form where indicated.
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Submit the completed form to the designated department at Otsego Memorial Hospital.

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Patients who have received services at Otsego Memorial Hospital and need to provide billing information or insurance details.
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Individuals who have visited the hospital and are required to fill out the burdco form for administrative purposes.
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Otsego Memorial Hospital BURDCO stands for Board of Directors' Conflict of Interest policy.
All members of the Board of Directors of Otsego Memorial Hospital are required to file the BURDCO form.
To fill out the BURDCO form, members of the Board of Directors must disclose any potential conflicts of interest they may have.
The purpose of the BURDCO form is to ensure transparency and integrity in decision-making processes within the hospital.
Members of the Board of Directors must report any financial interests, relationships, or other potential conflicts of interest.
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