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PRINTED: 11/25/2019 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 the necessary forms and paperwork from the reception desk at Springhurst Health and Rehabilitation.
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Fill out your personal information accurately and completely, including your full name, date of birth, and contact information.
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Provide your medical history, including any existing conditions, allergies, and medications you are currently taking.
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Answer questions about your insurance coverage and provide any necessary documentation.
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Specify the reason for your stay at Springhurst Health and Rehabilitation, such as post-surgical care, rehabilitation, or long-term care.
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Springhurst Health and Rehabilitation is a healthcare facility that provides medical and rehabilitative services to patients recovering from illness or injury.
Individuals seeking to access services, insurance claims, or healthcare benefits may be required to file the necessary documentation with Springhurst Health and Rehabilitation.
To fill out the forms at Springhurst Health and Rehabilitation, gather the required personal information, medical history, and any necessary documentation, then follow the instructions provided on the forms.
The purpose of Springhurst Health and Rehabilitation is to provide comprehensive healthcare and rehabilitation services to promote recovery and improve the quality of life for patients.
Information that must be reported includes personal identification details, medical history, current health status, and any treatments received or requested.
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