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FOR OH FUSE LL1 2002 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2002) I. DPH Facility ID Number: Facility Name: 0045435

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How to Fill Out St James Manor Amp:

1. Start by gathering all necessary information and materials, such as the required forms, documents, and supporting details.
2. Begin the form by entering your personal information accurately, including your full name, contact details, and any other requested information.
3. Move on to the specific sections of the form, providing the requested details for each. This may include information about your current residence, employment history, financial status, and any relevant family details.
4. Make sure to read each question carefully and provide complete and truthful answers. Double-check your responses for accuracy before moving on to the next section.
5. If there are any additional documents or supporting evidence required, attach them to the form or send them separately as instructed.
6. Once you have completed filling out the form, review it thoroughly to ensure all information is correct and complete.
7. Follow any submission instructions provided, whether it is mailing the form or submitting it online. Keep copies of the completed form and any supporting documents for your records.

Who Needs St James Manor Amp:

1. Individuals who are looking to apply for admission to St James Manor, a residential care facility, may need to fill out the St James Manor Amp form.
2. The form is typically required by the facility to evaluate the applicant's eligibility and assess their specific needs in order to provide appropriate care and services.
3. The St James Manor Amp form may be required for both long-term care residents and short-term or respite care applicants.
4. It is important to check with St James Manor or the relevant authority to confirm if the St James Manor Amp form is necessary for your specific situation or type of care required.
5. The form helps St James Manor understand the applicant's medical history, current health condition, and any specific care requirements they might have.
6. By filling out the St James Manor Amp form, individuals can help ensure that they receive the appropriate level of care and support tailored to their specific needs during their stay at St James Manor.

Please note that the specific requirements and procedures for filling out the St James Manor Amp form may vary, so it is always advisable to consult the instructions provided by St James Manor or the appropriate authorities for accurate and up-to-date information.

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