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How to fill out the PROTECTIVE HEALTH SERVICES Operational Program Narrative online
This guide provides step-by-step instructions on how to successfully complete the PROTECTIVE HEALTH SERVICES Operational Program Narrative. Follow these clear and concise directions to ensure your submission meets the necessary criteria.
Follow the steps to complete your operational program narrative.
- Click the 'Get Form' button to access the document and open it in your preferred editing tool.
- Begin by filling in the facility name in the designated field at the top of the form. Ensure this information is accurate and matches your official records.
- Enter the license number assigned to your facility. This is crucial for the identification and processing of your narrative.
- Review the governance and administration section. Provide the required details as specified in section 310:600-9-1 on an 8.5" x 11" attachment, and number your response as '1'.
- In the patient rights section, detail your facility's policies according to section 310:600-9-2. Attach this information on a separate page, numbering it as '2'.
- Explain your staffing and personnel structure as required by section 310:600-9-3. Include your detailed response on an attachment labeled as '3'.
- Describe the clinical services offered by your facility in accordance with section 310:600-9-4. This should be documented on an attachment numbered '4'.
- Complete the quality assessment and performance improvement section as outlined in section 310:600-9-5, and provide your answer on an attachment marked '5'.
- Present details regarding examinations, tests, and procedures as specified in section 310:600-9-6. Label this response as '6' on a new attachment.
- Describe the facility design and construction adhering to the guidelines of section 310:600-9-7. This should be placed on an attachment identified as '7'.
- Finally, provide the construction drawings information required by section 310:600-9-8. Number this attachment as '8'.
- After completing all sections, add signatures where indicated, including typed names, titles, email addresses, and dates for each applicant.
- Review your form for accuracy and completeness before submission.
- Save your changes, and choose to download, print, or share the completed form as needed.
Complete your PROTECTIVE HEALTH SERVICES Operational Program Narrative online now to streamline your submission process.
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