CMS006601 | Centers for Medicare & Medicaid Services

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Form #: CMS 724
Form Title: Medicare/Medicaid Psychiatric Hospital Survey Data
Revision Date: 09/01/1994
O.M.B. #: 0938-0378
O.M.B. Expiration Date: 01/31/2014
CMS Manual: N/A
Special Instructions: N/A

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CMS 724 (50KB) [PDF, 41KB]

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