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Get Independent Peer Review Instrument (ipr-3) - Oasas

Ting of Program being reviewed: Name and Address of Program Conducting the Review: OASAS Provider #: OASAS PRU #: Treatment Service Setting of Program Conducting the Review: Name(s) and Title(s) of Reviewers Name(s) and Title(s) of Participating Staff of Program Reviewed: Page 1 of 12 IPR-3 (Rev 08/2012) INDEPENDENT PEER REVIEW INSTRUMENT II. CLINICAL REVIEW Area 1: Admission Process (initial determination, level of care and admission) 1. What method(s) did you use to gather information o.

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