Complete all of the required Steps

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All  Forms Must Be Filled Out, Saved and Then Emailed to support@chr501.org

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CT SubDataSheet Must be Filled Out and Returned ASAP!

Have All Other Forms Submitted in One Week

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Also you Must Provide Proof of Community HealthCare Resources as Additional Insured on Your Malpractice

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Community HealthCare Resources

2550 Middle Rd Ste #400

Bettendorf, IA 52722

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States That Do Not Require a State Form

AK, CO, FL, ND, NH, NM, NV, PA, SD, TN, TX, UT, WA and WY

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