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PRINTED: 03/05/2013 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Obtain a copy of the Deseret Health and Rehab form.
02
Begin by providing your personal information, such as your full name, address, and contact details.
03
Fill out the medical history section, including any relevant past illnesses, surgeries, or conditions.
04
Provide information about your current medications and dosages, as well as any allergies or sensitivities.
05
Complete the insurance information section, including your insurance provider and policy details.
06
Indicate your preferences for care and any specific concerns or goals you have for your rehabilitation.
07
Sign and date the form to certify that the information provided is accurate and complete.
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Review the completed form for any errors or omissions before submitting it to Deseret Health and Rehab.

Who needs deseret health and rehab?

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Deseret Health and Rehab is intended for individuals who require rehabilitation services for various reasons, including:
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- Those recovering from surgery or a serious injury
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- Individuals with chronic illnesses or conditions that require ongoing therapy
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- Elderly individuals who may benefit from physical or occupational therapy
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- People with disabilities who require specialized care and rehabilitation
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- Individuals seeking to improve their mobility, strength, or independence
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- Anyone in need of rehabilitation services and support in their recovery journey.
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Deseret Health and Rehab is a healthcare facility that provides rehabilitation services to patients.
Deseret Health and Rehab is required to file reports with regulatory agencies and insurance providers.
Deseret Health and Rehab reports can be filled out electronically or on paper forms provided by the facility.
The purpose of Deseret Health and Rehab is to provide quality healthcare and rehabilitation services to patients.
Information reported on Deseret Health and Rehab forms includes patient demographics, medical history, treatment plans, and progress notes.
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