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1 LlCENSEElLOCATlON INSPECTED2 NRUREGIONAL OFFICEKaiser Foundation Hospital Diagnostic Imaging Department 3288 Moanalua Road Honolulu, Hawaii 96819 REPORT NUMBER(S) 3 DOCKET NUMBER(S)USNRC Region
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How to fill out kaiser foundation hospital amendment

01
Obtain the Kaiser Foundation Hospital amendment form from the hospital's administration or website.
02
Fill in your personal information such as full name, address, date of birth, and contact details.
03
Review the existing information and indicate the changes you wish to make on the form.
04
Provide a detailed explanation for the requested amendments, if necessary.
05
Sign and date the form before submitting it to the hospital for processing.

Who needs kaiser foundation hospital amendment?

01
Patients who have incorrect information in their medical records at Kaiser Foundation Hospital.
02
Individuals who have experienced changes in personal information that need to be updated in the hospital's records.
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The Kaiser Foundation Hospital Amendment is a specific legal adjustment or modification made to the original foundation documents of Kaiser Foundation Hospitals, which typically involves operational, regulatory, and governance changes.
The entities operating under the Kaiser Foundation Hospitals, including the hospital management and administrative staff, are required to file the Kaiser Foundation Hospital Amendment.
To fill out the Kaiser Foundation Hospital Amendment, an authorized representative must complete the designated form by providing necessary information and documentation, including governance details, operational changes, and any amendments to original foundation provisions.
The purpose of the Kaiser Foundation Hospital Amendment is to ensure compliance with updated regulations, reflect changes in governance or operations, and maintain the legal standing of the hospital foundation.
The information that must be reported includes the amended sections, reasons for amendments, organizational changes, compliance details, and any relevant operational adjustments to the foundation's structure.
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