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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15G10108/22/2017FORM
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This visit was for evaluating and addressing the needs and concerns of the attending individual or group.
Individuals who attend the visit and organizations facilitating the visit are required to file the necessary documentation.
To fill out the required forms for this visit, provide complete information regarding the attendees, purpose, and outcomes of the visit.
The purpose of this visit is to assess needs, provide support, and implement solutions based on discussions.
Information that must be reported includes the date of the visit, participants, discussion points, and agreed actions.
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