440-0442
|
DOH/ DOH5000/ DOH50005033
|
33-12
|
Private HIV Laboratory Report
|
|
|
04/09/1993
|
|
440-0443
|
DOH/ DOH5000/ DOH50005033
|
33-13
|
Communicable Disease Case Report Card
|
|
|
04/09/1993
|
|
440-0444
|
DOH/ DOH3000/ DOH30003016
|
17-09
|
Periodic Compliance Rept./Non-discriniat
|
|
|
05/27/1993
|
|
440-0445
|
DOH/ DOH5000/
|
33-14
|
Medicare Influenza Demonstration Project
|
|
|
06/29/1993
|
|
440-0446
|
DOH/ DOH5000/
|
33-15
|
Survey of Hospital Immunization Policies
|
|
|
06/29/1993
|
|
440-0447
|
DOH/ /
|
82-1
|
Subgrantee Single Audit
|
|
|
07/26/2008
|
|
440-0448
|
DOH/ DOH2000/ DOH20002027
|
27-39
|
Vital Statistic Inspections
|
|
|
01/21/1994
|
|
440-0449
|
DOH/ DOH6000/ DOH60006071
|
71-02
|
BCMH Medical Provider Files
|
|
|
01/21/1994
|
|
440-0450
|
DOH/ DOH1000/ DOH10001008
|
08-01
|
State Health Planning & Development Agen
|
|
|
03/14/1994
|
|
440-0451
|
DOH/ DOH1000/ DOH10001008
|
08-02
|
Health Service Agencies (HSA)
|
|
|
03/14/1994
|
|
440-0455
|
DOH/ DOH2000/ DOH20002027
|
27-40
|
Name Changes
|
|
|
03/14/1994
|
|
440-0456
|
DOH/ DOH1000/ DOH10001006
|
06-10
|
Certificate of Registration of Nursing H
|
|
|
06/29/1994
|
|
440-0457
|
DOH/ DOH5000/ DOH50005035
|
35-01
|
Health Promotion/Education Training Reco
|
|
|
06/29/1994
|
|
440-0458
|
DOH/ DOH2000/ DOH20002062
|
62-06
|
Management Information Training Records
|
|
|
06/29/1994
|
|
440-0459
|
DOH/ DOH6000/
|
71-03
|
Incoming Referrals for Medical Services/
|
|
|
06/29/1994
|
|
440-0460
|
DOH/ DOH2061/
|
DS-01
|
Invoices - Receivables
|
|
|
08/27/1996
|
|
440-0461
|
DOH/ DOH2061/
|
DS-02
|
Training Course Evaluations/Summaries
|
|
|
08/27/1996
|
|
440-0463
|
DOH/ DOH2061/
|
51-10
|
Asbestos Removal Project Inspection Chec
|
|
|
08/27/1996
|
|
440-0464
|
DOH/ /
|
33-16
|
TB/Class B/Case History Patient Records
|
|
|
06/13/2007
|
|
440-0465
|
DOH/ DOH2061/
|
55-02
|
Radiographic Inspection Worksheet
|
|
|
08/27/1996
|
|