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Get Wisconsin Division Of Health Notice Of Substantial Change Form

In writing 10 days prior to the implementation of the change. The substantial change must not be implemented until the change is approved by DQA. DQA responds to all Notice of Substantial Change forms in writing. Substantial change is defined as any change in the program designee, primary instructor, program trainer, curriculum, classroom location, or clinical site. Failure to provide this information may result in the suspension or revocation of the program s certification or the impos.

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