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This form is related to the monitoring and calling system for medical purposes.
Healthcare facilities and providers are required to file this form.
The form should be filled out with accurate and up-to-date information regarding the monitoring and calling system used for medical purposes.
The purpose of this form is to ensure proper monitoring and calling systems are in place for medical emergencies.
Information regarding the type of monitoring system, emergency protocols, contact information, and testing procedures must be reported on this form.
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