Inpatient hospitalization discharge overdose data form - Health Department Line-level ED and Inpatient Hospitalization Discharge Data - Yearly

[NCIPC] Drug Overdose Surveillance and Epidemiology (DOSE)

OMB: 0920-1268

IC ID: 275054

Documents and Forms

Document Name Document Type
Form 0920-1268 Inpatient hospitalization discharge overdose data form - Health Department Line-level ED and Inpatient Hospitalization Discharge Data - Yearly Form and Instruction
0920-1268 Inpatient Hospitalization Discharge Overdose Data Form 0920-1268 Att E_ED discharge.xlsx Form and Instruction