Indiana Code § 16-41-42.1-5

Application information
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Sec. 5. A health care entity applying for registration under this chapter must disclose the following: (1) The types of health care services that the health care entity will provide in Indiana. (2) The names of any employees who are currently in good standing licensed, certified, or registered in a health care profession in: (A) Indiana; or (B) any other state; and a copy of each employee's license, certification, or registration. (3) Any health care services that are to be provided under a contract between the health care entity and a person that is licensed, certified, or registered in Indiana to provide health care services. (4) The types of: (A) health care services that the health care entity will perform; (B) health care tests that the health care entity will perform; and (C) equipment that the health care entity will use. (5) The manner in which test results and recommendations for health care based on the test results will be disclosed to patients. (6) The health care entity's name, address, and telephone number and the name of any company that is affiliated with the health care entity.

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