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This version of the form is not currently in use and is provided for reference only. Download this version of
Form F-44771B
for the current year.
Form F-44771B Nursing Case Closure Report - Case Management of Children With Elevated Blood Lead Levels - Wisconsin
What Is Form F-44771B?
This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form F-44771B?
A: Form F-44771B is the Nursing Case Closure Report for the Case Management of Children With Elevated Blood Lead Levels in Wisconsin.
Q: Who is required to fill out Form F-44771B?
A: Healthcare professionals involved in the case management of children with elevated blood lead levels in Wisconsin are required to fill out Form F-44771B.
Q: What is the purpose of Form F-44771B?
A: Form F-44771B is used to report the closure of a nursing case for a child with an elevated blood lead level in Wisconsin.
Q: What information is needed on Form F-44771B?
A: Form F-44771B requires information such as the child's name, case manager's name, date of closure, and summary of services provided.
Q: Is there a deadline for submitting Form F-44771B?
A: There is no specific deadline mentioned for submitting Form F-44771B. However, it is recommended to submit it promptly after the closure of the nursing case.
Form Details:
- Released on September 1, 2019;
- The latest edition provided by the Wisconsin Department of Health 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 F-44771B by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
