Nhsc site data tables 2025

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The document outlines the NHSC Site Data Tables, which are used for reporting patient and service data at healthcare sites participating in the National Health Service Corps (NHSC). It includes sections for site identification, patient demographics by insurance type, service charges and collections, sliding fee schedule applications, and staffing details. The tables aim to capture comprehensive data on patient visits, financial transactions, and personnel involved in delivering healthcare services over a specified reporting period.

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Click ‘Get Form’ to open the NHSC Site Data Tables in the editor.
Begin by filling in the Site Name and Address fields. Ensure that all addresses are complete and accurate for proper identification.
Enter the Date Prepared and Prepared By information. This helps maintain a record of who completed the form and when.
For the 6-Month Reporting Period, specify the start and end dates using the mm/yy format. This is crucial for accurate reporting.
In the Total Patients and Total Patient Visits sections, input your data based on actual counts from your records.
Proceed to Table 1, where you will report patients or visits by primary insurance type. Fill in either Number of Patients or Number of Patient Visits as applicable.
Continue through each table, ensuring that all required fields are filled out accurately, including service charges and staffing details.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (145 Votes)
2020	4.3 Satisfied (211 Votes)
2018	4.1 Satisfied (47 Votes)
2013	4.4 Satisfied (552 Votes)

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