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FOR BHF USELL1 2017 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2017)I.DPH License ID Number: Facility
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To fill out Regency Care of Sterling, follow these steps:
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Fill in your personal information: Start by entering your full name, date of birth, and contact details including address, phone number, and email.
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Provide your medical history: Include any previous illnesses, surgeries, medications, and allergies that you have or had in the past.
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Specify your insurance information: Indicate your insurance provider, policy number, and any other relevant details.
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Enter emergency contact details: Provide the name, relationship, and contact information of the person to be contacted in case of emergencies.
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Sign the form: Read the terms and conditions carefully and sign the form to acknowledge your consent and understanding.
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Submit the form: Once you have filled in all the required information, submit the form to the appropriate department at Regency Care of Sterling.

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Regency Care of Sterling is a skilled nursing facility providing long-term and short-term care services.
The individuals responsible for the care of patients at Regency Care of Sterling are required to file the relevant documentation.
To fill out Regency Care of Sterling documents, individuals must provide accurate information about the patients' care and needs.
The purpose of Regency Care of Sterling is to ensure that patients receive the appropriate care and support they need.
Information such as patient demographics, medical history, treatment plans, and progress reports must be reported on Regency Care of Sterling.
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