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RCFE Preadmission Questionnaire 10.02

COMMUNITY CARE LICENSING DIVISION "Promoting Healthy, Safe and Supportive Community Care" Self-Assessment Guide RESIDENTIAL CARE FACILITY FOR THE ELDERLY Preadmission Questionnaire 2 TSP 10/02 TECHNICAL SUPPORT PROGRAM RESIDENTIAL CARE FACILITY FOR THE ELDERLY Preadmission Questionnaire The following Questionnaire is designed to assist licensees in identifying specific medical and behavioral issues that may affect the

2 TSP 10/02 . TECHNICAL SUPPORT PROGRAM RESIDENTIAL CARE FACILITY FOR THE ELDERLY PREADMISSION QUESTIONNAIRE . The following questionnaire is designed to assist licensees in identifying specific medical

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