Hospital Emergency Preparedness Plan (EPP) Attestation

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* 1. Does your hospital have a written EPP that fits its community's characteristics?

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* 2. Does your hospital have a written EPP that prepares for future surges and emerging infectious diseases?

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* 3. Do you need EPP assistance?

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* 4. Name of person completing this attestation (First and Last Name)

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* 5. Hospital Name

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* 6. CCN (if known)

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* 7. Email Address

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