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STATE OF MICHIGAN Department of Licensing and Regulatory Affairs (LARA) Bureau of Community and Health Systems HOME FOR THE AGED LICENSURE EXEMPTION REQUEST 1. Facility Name2. Main/Public Telephone
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The home for form aged is a form used to report information about elderly individuals living in a residential care facility.
The staff or administrators of the residential care facility are required to file the home for form aged.
The home for form aged is typically filled out by providing basic information about the elderly residents, such as their name, age, medical conditions, and any special needs.
The purpose of the home for form aged is to ensure that elderly individuals living in residential care facilities receive appropriate care and support.
Information such as the resident's medical history, dietary needs, medication regimen, and any known allergies must be reported on the home for form aged.
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