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CONFIDENTIALINPATIENT REHABILITATION AND LONG TERM ACUTE CARE Fax form to Marigold at 18332634869 All Fields must be completed to Process Request Today's Date:Estimated Admission Date: ___Patient:

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What is long-term care forms admission?

Long-term care forms admission is a process of applying for admission to a long-term care facility or program.

Who is required to file long-term care forms admission?

Individuals who are seeking long-term care services or placement in a long-term care facility are required to file long-term care forms admission.

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Long-term care forms admission can be filled out by providing personal information, medical history, insurance details, and care needs.

What is the purpose of long-term care forms admission?

The purpose of long-term care forms admission is to assess the individual's eligibility for long-term care services and placement in a facility.

What information must be reported on long-term care forms admission?

Information such as personal details, medical history, insurance information, care needs, and preferences must be reported on long-term care forms admission.

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