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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance F-00059 05/10 STATE OF WISCONSIN DHS 35 Wis. Admin. Code Page 1 of 16 OUTPATIENT MENTAL HEALTH CLINIC APPLICATION DHS 35 INSTRUCTIONS Completion of this application verifies that an outpatient mental health clinic is organized in compliance with Chapter DHS 35 Wisconsin Administrative Code as required by state statutes. Clinics must comply with DHS 35. 123 2 or have a plan to do so. Clin.

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