Level III and IV Hospital Assessment and Classification Criteria by absences

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									DEPARMENT OF HEALTH AND FAMILY SERVICE                                                          STATE OF WISCONSIN
Division of Public Health
DPH 7480 (12/04)
                           LEVEL III & IV HOSPITAL ASSESSMENT AND CLASSIFICATION CRITERIA

This form has been revised and renumbered. Please update your link to:
http://dhs.wisconsin.gov/forms/F4/F47480.doc




DPH 7480 (12/04)                                                                            Page 1 of 11

								
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