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FOR BHF USELL1
2016
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2016)I.DPH License ID Number:
Facility
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What is alpine fireside health ctr?
Alpine Fireside Health Center is a medical facility specializing in providing care for elderly patients.
Who is required to file alpine fireside health ctr?
All healthcare facilities that provide services to elderly patients are required to file Alpine Fireside Health Center forms.
How to fill out alpine fireside health ctr?
Alpine Fireside Health Center forms can be filled out online or submitted in person at the facility.
What is the purpose of alpine fireside health ctr?
The purpose of Alpine Fireside Health Center forms is to provide accurate information about the care provided to elderly patients.
What information must be reported on alpine fireside health ctr?
Information such as patient demographics, medical history, medications prescribed, and treatment plans must be reported on Alpine Fireside Health Center forms.
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