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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance F-00191 (11/09) STATE OF WISCONSIN Page 1 of 2 CERTIFIED OUTPATIENT CLINIC REQUEST FOR A BRANCH OFFICE See Division of Quality Assurance
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What is dqa form f 00191?
Dqa form f 00191 is a document used for reporting certain information to the relevant authorities.
Who is required to file dqa form f 00191?
The individuals or organizations specified by the authorities are required to file dqa form f 00191.
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To fill out dqa form f 00191, you need to follow the instructions provided by the relevant authorities. The form typically requires you to provide specific information in the designated fields.
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The purpose of dqa form f 00191 is to collect and record relevant information as required by the authorities for specific purposes.
What information must be reported on dqa form f 00191?
The specific information that must be reported on dqa form f 00191 will be outlined in the instructions provided by the relevant authorities. It may vary depending on the purpose of the form.
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