Form SFN61954 Health Facility Program Complaint Intake - North Dakota

Form SFN61954 Health Facility Program Complaint Intake - North Dakota

What Is Form SFN61954?

This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SFN61954?
A: Form SFN61954 is the Health Facility Program Complaint Intake form used in North Dakota.

Q: What is the purpose of Form SFN61954?
A: The purpose of Form SFN61954 is to report a complaint regarding a health facility in North Dakota.

Q: How do I fill out Form SFN61954?
A: To fill out Form SFN61954, you will need to provide detailed information about the complaint, the health facility involved, and any supporting documentation.

Q: What should I do with Form SFN61954 once it is filled out?
A: Once you have completed Form SFN61954, you should submit it to the Health Facility Program for review and investigation of the complaint.

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Form Details:

  • Released on February 1, 2021;
  • The latest edition provided by the North Dakota Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form SFN61954 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.

Download Form SFN61954 Health Facility Program Complaint Intake - North Dakota

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