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FOR BHF USELL1 2019STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2019) I.DPH License ID Number: Facility
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Obtain the Metropolis Rehabilitation & Health form.
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Fill in your personal information accurately, including name, contact information, and date of birth.
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Provide details of your medical history, current health condition, and any medications you are taking.
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Specify the reason for seeking rehabilitation or health services at Metropolis.
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Sign and date the form before submitting it to the appropriate department.

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Individuals who require rehabilitation services after an injury or surgery.
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Metropolis Rehabilitation & Health is a healthcare facility that specializes in providing rehabilitation services and promoting overall health and wellness.
Patients who have been receiving services or treatment at Metropolis Rehabilitation & Health may be required to provide their personal information and medical history for filing purposes.
Patients can fill out the necessary forms provided by Metropolis Rehabilitation & Health with their personal information, medical history, and details of the services received.
The purpose of Metropolis Rehabilitation & Health is to assist patients in recovering from injuries or medical conditions through rehabilitation services and promoting overall health and wellness.
Information such as personal details of the patient, medical history, details of services received, and any insurance information must be reported on Metropolis Rehabilitation & Health forms.
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