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ADULT DAY HEALTH MILEAGE REIMBURSEMENT FORM Send to: Logistical Solutions 4149 High line Blvd Ste. 200 Oklahoma City, Ok 73108 ADULT DAY HEALTH FACILITY NAME:DRIVER NAME:ADH FAC MAILING ADDRESS:ADH

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What is adult day health mileage?

Adult day health mileage refers to the number of miles traveled by an individual to and from an adult day health care facility.

Who is required to file adult day health mileage?

Individuals who use adult day health care services and seek reimbursement for travel expenses are required to file adult day health mileage.

How to fill out adult day health mileage?

To fill out adult day health mileage, individuals must document the date of travel, starting point, destination, and total miles traveled.

What is the purpose of adult day health mileage?

The purpose of adult day health mileage is to track and reimburse individuals for the travel expenses incurred while accessing adult day health care services.

What information must be reported on adult day health mileage?

The information that must be reported on adult day health mileage includes date of travel, starting point, destination, and total miles traveled.

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