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.
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.
Form Details:
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.