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FOR BHF USELL1 2020STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2020) I.DPH License ID Number:
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Obtain the necessary forms from Willow Crest Nursing Pavilion or their website.
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Next, provide details about your medical history, including any current medications you are taking and any known allergies.
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Indicate your health insurance information, including the type of coverage you have and your insurance provider.
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Specify your preferences for medical treatment and end-of-life care, such as whether you want to be resuscitated in the event of a cardiac arrest.
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Review the completed form to ensure all information is accurate and complete.
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Keep a copy of the completed form for your records, and provide a copy to your healthcare provider and designated healthcare proxy.

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Willow Crest Nursing Pavilion is designed for individuals who require long-term nursing care.
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Willow Crest Nursing Pavilion is a skilled nursing facility that provides care for elderly and disabled individuals.
The administrators or representatives of Willow Crest Nursing Pavilion are required to file the necessary paperwork.
The paperwork for Willow Crest Nursing Pavilion can be filled out online or submitted in person at the facility.
The purpose of Willow Crest Nursing Pavilion is to provide quality care and support for individuals who are unable to fully care for themselves.
Information such as patient demographics, medical history, treatment plans, and progress notes must be reported on Willow Crest Nursing Pavilion.
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