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ACUPUNCTURE FOR HEALTH WENDY STALKER R. Ac. Dip. Ac. B.Sc. Name:Date of Birth:Date:Address:Milepost Code:FemaleOccupation: Telephone: Day:Evening:Cell Phone: Email address: Emergency Contact:Telephone:Where
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The AFH intake form 04-2013-1doc is typically needed by individuals or organizations responsible for conducting intake assessments for Adult Family Homes (AFHs). This form helps gather essential information about prospective residents or clients who may be seeking placement in an AFH. It can be used by social workers, healthcare professionals, or administrators involved in the AFH admissions process.
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The AFH Intake Form 04-1doc is a document used for collecting specific information from facilities that provide care, typically in adult family homes.
Facilities that provide care in adult family homes are required to file the AFH Intake Form 04-1doc.
To fill out the AFH Intake Form 04-1doc, individuals must provide detailed information about the facility, its services, and the residents receiving care.
The purpose of the AFH Intake Form 04-1doc is to gather necessary data about adult family homes to ensure compliance with state regulations and to assess the quality of care provided.
The AFH Intake Form 04-1doc requires reporting on facility details, staff qualifications, resident information, and the types of services provided.
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