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ACTION: OriginalDATE: 07/19/2017 4:07 PMRule Summary and Fiscal Analysis (Part A) Department of Health Agency NameKaye Norton DivisionContact246 North High Street Columbus OH 4321500006146448184Agency

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What is 3701-86-03 new?

3701-86-03 new is a form used in Ohio for reporting information related to the operation of certain healthcare facilities, primarily focusing on compliance with state regulations.

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Healthcare facilities that fall under the jurisdiction of the Ohio Department of Health and are required to report specific operational data must file the 3701-86-03 new form.

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To fill out the 3701-86-03 new form, facilities must provide accurate operational data, including facility information, compliance details, and any relevant statistical data as required by the Ohio Department of Health guidelines.

What is the purpose of 3701-86-03 new?

The purpose of 3701-86-03 new is to ensure that healthcare facilities are in compliance with state regulations and to collect essential data to monitor facility operations and quality of care.

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The 3701-86-03 new form requires reporting information such as facility name, address, type of services provided, staffing levels, and patient care statistics.

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