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PRINTED: 11/17/2021
FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATION
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How to fill out emergency and disaster instructions

How to fill out emergency and disaster instructions
01
Gather necessary information such as emergency contact numbers, insurance policies, and medical information.
02
Create a detailed emergency plan including evacuation routes, meeting points, and important contacts.
03
Communicate and review the emergency plan with all family members or household members.
04
Practice drills to ensure everyone knows what to do in case of an emergency.
05
Keep a printed copy of the emergency instructions in a easily accessible location.
Who needs emergency and disaster instructions?
01
Everyone can benefit from having emergency and disaster instructions in place for their safety and well-being.
02
Families, individuals living alone, businesses, schools, and organizations should have emergency instructions tailored to their specific needs and circumstances.
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What is emergency and disaster instructions?
Emergency and disaster instructions provide guidance on how to respond during crises and ensure safety.
Who is required to file emergency and disaster instructions?
All individuals and organizations should have emergency and disaster instructions in place.
How to fill out emergency and disaster instructions?
Emergency and disaster instructions can be filled out by detailing procedures for different emergency scenarios.
What is the purpose of emergency and disaster instructions?
The purpose of emergency and disaster instructions is to ensure preparedness and safety during emergencies.
What information must be reported on emergency and disaster instructions?
Emergency and disaster instructions should include contact information, evacuation routes, and emergency procedures.
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