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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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What is heritage health-robinson?
Heritage Health-Robinson is a form used for reporting heritage health information.
Who is required to file heritage health-robinson?
Individuals and entities with heritage health information are required to file Heritage Health-Robinson.
How to fill out heritage health-robinson?
Heritage Health-Robinson can be filled out online or submitted in hard copy.
What is the purpose of heritage health-robinson?
The purpose of Heritage Health-Robinson is to collect and report heritage health information.
What information must be reported on heritage health-robinson?
Heritage Health-Robinson requires reporting of heritage health data such as family medical history and genetic information.
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