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STATE OF CALIFORNIASTANDARD AGREEMENT STD 213 (CDP Rev 2/11)REGISTRATION NUMBERCheck here if additional pages are added: 1.AGREEMENT NUMBER1110044page(s)This Agreement is entered into between the
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The cdph template is a form provided by the California Department of Public Health for reporting certain health data.
Healthcare facilities and providers are required to file the cdph template.
The cdph template can be filled out electronically or manually, following the instructions provided by the California Department of Public Health.
The purpose of the cdph template is to collect and track important health data for public health monitoring and reporting.
The cdph template typically requires information such as patient demographics, health conditions, treatments, and outcomes.
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