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What are the annual receipts for non-patients medications?
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MedMal
Facility Business Address
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Please select any of the Facility Types that are applicable to the exposures you are reporting in this application:
Does this application include information for a Hospital or Medical Center?
Does this application include information for a Public Health Clinic or are Public Health Services provided?
Does this application include information for a Mental Health Clinic or are Mental Health services provided?
Does this application include information for a Jail, Juvenile Hall, or other Correctional Care Facilities?
Does this application include information for a School or provide Student Care Services?
Please check all the Facility Sub-Types that apply to the exposures you are reporting in this application:
General Hospital
Teaching Hospital
Medical School
Critical Access Hospital (CAH)
Children's Hospital
Geriatric Hospital
Women's Hospital
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Psychiatric Hospital
Acute Psychiatric Hospital (APH)
Psychiatric Health Facility
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If the prior employee total differs from the amount provided previously by more than 10%, please provide reasons for the change.
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As the prior average daily attendance differs from the amount provided previously by more than 10%, please provide reasons for the change
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Aircraft Operation (7424)(1)
Airport Law Enforcement Officers (7720)
Airport Operator (7429)
Animal Control Officers (7720)
Bus Operators (7382)
Clerical Office (8810)
Clerical Telecommuting Employees (8871)
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What are the annual receipts for non-patients medications?
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What are the annual receipts for non-patients medications?