Get the free Visitation Waiver in Long-Term Care. C
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State of CaliforniaHealth and Human Services Agency California Department of Public Health SONIA Y. ANGEL, MD, MPH State Public Health Officer & DirectorGAVIN NEWSOM Governor March 11, 2020, Name
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How to fill out visitation waiver in long-term
How to fill out visitation waiver in long-term
01
Obtain a copy of the visitation waiver form from the long-term facility.
02
Read through the form carefully to understand the information required.
03
Fill out your personal information such as your name, address, phone number, and date of birth.
04
Provide information about the person you are visiting, such as their name and room number.
05
Specify the dates and times you wish to visit and the purpose of your visits.
06
Sign and date the form to certify that the information provided is accurate.
07
Submit the completed visitation waiver form to the long-term facility.
08
Follow up with the facility to ensure that your visitation waiver has been processed and approved.
Who needs visitation waiver in long-term?
01
Anyone who wishes to visit a patient or resident in a long-term facility needs to fill out a visitation waiver form. This includes family members, friends, and other individuals who have a legitimate reason to visit the facility.
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