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Copy of UPDATED Weekly Ohio Department of Health Request for Information 032320
Facility Demographics
Please enter your facility's contact information below.
OK
1.
Facility Name
2.
Facility Address
3.
In what county is your facility located?
4.
Facility type
5.
Contact Person's Name and Email Address
6.
Phone Number
7.
What is your facility's capacity?
8.
What is your facility's current census?
9.
How many open beds does your facility currently have?
10.
How many open private rooms does your facility currently have?
Current Progress,
0 of 18 answered