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Form SFN59153 Refusal to Accept Referral / Recommended Follow-Up - North Dakota
What Is Form SFN59153?
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 SFN59153?
A: Form SFN59153 is a Refusal to Accept Referral/Recommended Follow-Up form specific to North Dakota.
Q: What is the purpose of Form SFN59153?
A: The purpose of Form SFN59153 is to document the refusal to accept a referral or recommended follow-up.
Q: Who uses Form SFN59153?
A: Form SFN59153 is used by individuals or organizations in North Dakota who have been referred or recommended for follow-up.
Q: When should Form SFN59153 be used?
A: Form SFN59153 should be used when there is a refusal to accept a referral or recommended follow-up.
Q: Is Form SFN59153 specific to North Dakota?
A: Yes, Form SFN59153 is specific to North Dakota and may not be applicable in other states or jurisdictions.
Form Details:
- Released on February 1, 2016;
- 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;
- Fill out the form in our online filing application.
Download a fillable version of Form SFN59153 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
