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Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin
What Is Form F-00381?
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-00381?
A: Form F-00381 is the Outpatient Mental Health Clinic Certification Withdrawal Checklist in Wisconsin.
Q: What is an Outpatient Mental Health Clinic?
A: An Outpatient Mental Health Clinic is a facility that provides mental health services on an outpatient basis.
Q: What is the purpose of Form F-00381?
A: The purpose of Form F-00381 is to document the withdrawal of certification for an Outpatient Mental Health Clinic in Wisconsin.
Q: What information is required on Form F-00381?
A: Form F-00381 requires information such as the clinic's name, address, and reason for withdrawal of certification.
Form Details:
- Released on March 1, 2011;
- 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-00381 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
Download Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin
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