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    Printing Instructions

Accreditation Forms

A. Institutional Health Care Providers

  • IHCP Accreditation Form with Revised Warranties for Accreditation and Checklist of Requirements
  • Monthly Mandatory Hospital Report
  • Statement of Intent for Hospitals/ASC/FSDC
  • Statement of Intent for OPB, MCP, DOTS Providers

B. Professional Health Care Providers

  • Professionals Accreditation Form with Warranties for Accreditation and Checklist of Requirements

Updated as of June, 2011

 

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