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HEALTH FACILITY COMPLAINT FORM - michigan.gov

HEALTH FACILITY COMPLAINT FORM - michigan.gov

www.michigan.gov

HEALTH FACILITY COMPLAINT FORM M ichigan Department of L icensing and Regulatory Affairs (LARA) Bureau of Community and Health Sy stems 611 W. Ottawa St reet, P. O. Box 30664 Lansi ng, MI 48909 Please print clearly or type inform ation on all sections of this form.

  Health, Facility, Michigan, Complaints, Health facility complaint

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