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As of October 1, 2009, the Indiana State Department of Health will no longer be able to accept the paper versions of State Form 53321 (Surgery for the Treatment of Morbid Obesity – Initial Report) and State Form 53322 (Surgery for the Treatment of Morbid Obesity – Follow-up Report).
Note: There is no need to delay reporting until the mandated submission dates. Reports can be submitted to the Indiana State Department of Health online via the Gateway system at any time before the required dates of June 30 and December 31.
Indiana State Department of Health
2 North Meridian Street, 3D
Indianapolis, Indiana 46204