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Get Or Phd 100 2013-2024

971) 673-0451 FAX (971) 673-0457 This report must be completed for every physiciantreated accident or any drowning at a public swimming pool. It is the responsibility of the pool operator to submit the completed form promptly to the Oregon Health Authority, Public Pool Program, 800 NE Oregon, Portland, OR 97232-2162 Date of Incident Time: YY MM - DD Accession # Accident ID # Official Use Only Victim Information - Please do not identify the victim by name. If there are multiple victi.

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