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PRINTED: 04/07/2023 FORM APPROVEDHealth Regulation & Licensing Administration STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:(X3) DATE SURVEY COMPLETED(X2)

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Make sure to obtain the universal health certificate form from a certified veterinarian.

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What is universal health certificate?

Universal health certificate is a document that certifies an individual's health status and can be used for various purposes such as travel or immigration.

Who is required to file universal health certificate?

Individuals who need to provide proof of their health status for certain activities or requirements may be required to file a universal health certificate.

How to fill out universal health certificate?

Universal health certificate can usually be filled out by providing personal information, medical history, and any required test results or vaccinations.

What is the purpose of universal health certificate?

The purpose of universal health certificate is to ensure that individuals meet certain health criteria for specific activities or requirements.

What information must be reported on universal health certificate?

Information such as personal details, medical history, recent test results, and vaccination records may need to be reported on a universal health certificate.

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