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440-0364
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DOH/ DOH3013/
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14-04-HFR
|
HMO Survey and Follow-up Information
|
|
|
07/27/1992
|
|
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440-0366
|
DOH/ DOH3013/
|
17-02-HFR
|
Hospice Licensure Records
|
|
|
07/27/1992
|
|
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440-0367
|
DOH/ DOH1000/
|
18-03
|
Annual Survey Long Term Care Facilities
|
|
|
07/27/1992
|
|
|
440-0369
|
DOH/ DOH4000/
|
36-03
|
Hypertensive Health Maintenance Program
|
|
|
07/27/1992
|
|
|
440-0370
|
DOH/ DOH4000/
|
36-12
|
ODH - First Aid Program
|
|
|
07/27/1992
|
|
|
440-0371
|
DOH/ DOH4000/
|
36-14
|
Laboratory Safety Presentations
|
|
|
07/27/1992
|
|
|
440-0372
|
DOH/ DOH4000/
|
36-15
|
Basic Life Support Community Training Ce
|
|
|
07/27/1992
|
|
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440-0373
|
DOH/ DOH5000/ DOH50005039
|
39-01
|
HIV Counseling & Testing Reports
|
|
|
07/27/1992
|
|
|
440-0374
|
DOH/ DOH5000/ DOH50005039
|
39-03
|
Survey of High Risk Clients Regarding AI
|
|
|
07/27/1992
|
|
|
440-0375
|
DOH/ DOH5000/ DOH50005039
|
39-04
|
Minority Knowledge, Attitude & Behavior
|
|
|
07/27/1992
|
|
|
440-0376
|
DOH/ DOH5000/ DOH50005039
|
39-05
|
Ryan White CARE Program Provider Agreeme
|
|
|
07/27/1992
|
|
|
440-0377
|
DOH/ DOH5000/ DOH50005039
|
39-06
|
Ryan White CARE Program Intake Form
|
|
|
07/27/1992
|
|
|
440-0378
|
DOH/ DOH5000/ DOH50005039
|
39-07
|
HIV Counselling and Testing Reports
|
|
|
07/27/1992
|
|
|
440-0379
|
DOH/ DOH5000/ DOH50005039
|
39-08
|
HIV Counselling & Testing Database
|
|
|
07/27/1992
|
|
|
440-0380
|
DOH/ DOH5000/ DOH50005039
|
39-09
|
AIDS Confidential Case Reports
|
|
|
07/27/1992
|
|
|
440-0381
|
DOH/ DOH5000/ DOH50005039
|
39-10
|
HIV Program Surveys
|
|
|
07/27/1992
|
|
|
440-0382
|
DOH/ DOH5000/ DOH50005039
|
39-11
|
No Identified Risk (NIR) Closure Checkli
|
|
|
07/27/1992
|
|
|
440-0383
|
DOH/ DOH6000/ DOH60006041
|
41-01
|
Child & Family Health Services Biennial
|
|
|
07/27/1992
|
|
|
440-0384
|
DOH/ DOH7000/ DOH70007051
|
51-14
|
Public Voucher for Purchases and Service
|
|
|
07/27/1992
|
|
|
440-0385
|
DOH/ DOH7000/ DOH70007051
|
51-20
|
Lead Reporting and Invoicing Form
|
|
|
07/27/1992
|
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