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Dhhs 2026
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- Click ‘Get Form’ to open the dhhs checklist in the editor.
- Begin by entering your Facility Contact Information. Fill in the Facility Name, NPI, Address, Contact Person, Email, Phone Number, and Submission Date accurately.
- Move on to the Resident Satisfaction Survey Checklist section. Select options for 'Copy of Survey Questions' and 'Summary of Survey Responses' as applicable.
- Indicate whether this survey submission includes Protected Health Information by selecting the appropriate option.
- Provide numerical data regarding residents: Number of Residents at the Facility during the survey, Number who received the survey, and Total Surveys Completed. Ensure all fields are filled out correctly.
- Complete additional fields such as Survey Date Range, Frequency, Entity Conducting the Survey, and Data Collection Methods.
- Finally, explain how the survey results will be used to improve resident care before saving your completed form.
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See more mi submission versions
We've got more versions of the mi submission form. Select the right mi submission version from the list and start editing it straight away!
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2019 | 4.8 Satisfied (90 Votes) |
Can I sign my dhhs on a mobile?
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