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  • Close A Site

    • Please complete this form and then e-mail it to the Help Desk.
    • Your request will be automatically forwarded to all required state staff.
    • State staff must have a minimum of 45 days notice to accommodate clinic closures.
    • Appointments to move data may be scheduled at any time other than the last or first day of the month and before 9:00 a.m. daily.
    • Instructions on inventory (computers, food vouchers, etc.) disposition will be supplied once we receive your notice to close.

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    Close a Site
    How will the data be split/moved?


Last updated December 06, 2010