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INSTRUCTIONS TO LICENSED HEALTH CARE PROVIDERS

INSTRUCTIONS TO LICENSED HEALTH CARE PROVIDERS

ahca.myflorida.com

1 AHCA Recommended Form 1823 9/2013 RESIDENT HEALTH ASSESSMENT for ASSISTED LIVING FACILITIES This form must be completed annually for residents receiving assistive care services in order to comply with Medicaid TO BE COMPLETED BY FACILITY: Resident’s Name

  Health, Licensed, Licensed health

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