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Adult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data Instructions

ICR 202506-0915-004 · OMB 0915-0157 · Object 159414401.

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAdult Heart and HeartLung Status 1 Criteria 1 Extension Justification Form Medical Urgency Data Instructions
AuthorTara Taylor
File Created2025-09-28
Conversion Statepartial