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DEPARTMENT OF HEALTH SERVICES Division of Long Term Reinstate OF WISCONSINF01812 (4/2015)WISCONSIN MEDICAID PROGRAM 2014 NURSING HOME COST REPORT Completion of this form is required by Section 1.171
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Jewish home and care is a facility or service designed to provide care for elderly individuals of the Jewish faith.
Family members or legal guardians of elderly individuals who require care at a Jewish home and care facility.
To fill out Jewish home and care forms, individuals must provide detailed information about the elderly individual's medical history, dietary requirements, and preferences for care.
The purpose of Jewish home and care is to ensure that elderly individuals of the Jewish faith receive the appropriate care and support they need in a culturally sensitive environment.
Information such as medical history, dietary requirements, religious preferences, and any specific care instructions must be reported on Jewish home and care forms.
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