Form F-00191A Certified Outpatient Clinic - School Branch Office Request - Wisconsin

Form F-00191A Certified Outpatient Clinic - School Branch Office Request - Wisconsin

What Is Form F-00191A?

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 the Form F-00191A?
A: The Form F-00191A is a request form for a Certified Outpatient Clinic - School Branch Office in Wisconsin.

Q: Who needs to fill out the Form F-00191A?
A: The form needs to be filled out by those who want to establish a Certified Outpatient Clinic - School Branch Office in Wisconsin.

Q: What is a Certified Outpatient Clinic - School Branch Office?
A: A Certified Outpatient Clinic - School Branch Office is a healthcare facility that operates as part of a school.

Q: Why do I need to fill out this form?
A: You need to fill out this form to request authorization for establishing a Certified Outpatient Clinic - School Branch Office in Wisconsin.

Q: Are there any fees associated with this form?
A: Yes, there are fees associated with the Form F-00191A. The exact fee amount can be found on the form.

Q: Is there a deadline for submitting the Form F-00191A?
A: There is no specific deadline mentioned for submitting the form. However, it is recommended to submit it in a timely manner.

Q: How long does it take to process the request?
A: The processing time for the request can vary. It is advised to contact the Wisconsin Department of Health Services for more information.

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Form Details:

  • Released on June 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 printable version of Form F-00191A by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-00191A Certified Outpatient Clinic - School Branch Office Request - Wisconsin

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