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APPLICATION FOR EMERGENCY ADMISSION IN ACCORDANCE WITH ORC 5122.01 and 5122.10TO: The Chief Clinical Officer of: Facility NameDate/TimeThe undersigned has reason to believe that ___ ___ Name of Person
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Read through the specific guidelines and requirements outlined in the ORC.
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Complete all sections accurately and thoroughly.
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Who needs in accordance with orc?

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Individuals or organizations who are required to adhere to the guidelines set forth in the ORC.
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Any party involved in activities or operations that fall under the jurisdiction of the ORC.
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In accordance with orc refers to following the regulations and guidelines set forth in the Orc code.
Any individual, organization, or entity that falls under the jurisdiction of the Orc code is required to file in accordance with orc.
Filing in accordance with orc involves completing the necessary forms and providing accurate and up-to-date information as required by the Orc code.
The purpose of filing in accordance with orc is to ensure compliance with the regulations and guidelines outlined in the Orc code.
The information that must be reported on in accordance with orc includes financial data, operational details, and any other information required by the Orc code.
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