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Ref-08831 IP Certification form

 
IP Certification Form REVISED033117.pdf
AHCA Form 4200-0002, July 2017. Revised Inpatient certification form.  
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Agency:

Agency for Health Care Administration
59E. Hospital and Nursing Home Reporting Systems and Other Provisions Relating to Hospitals

Description:

AHCA Form 4200-0002, July 2017. Revised Inpatient certification form.

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