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Physical Examination for Admission to Portage Manor Licensed Residential Care Facility Applicants Name:Date of Birth:Address:Telephone Number:Physicians Name:___Date___ Office Address:___ Blood Pressure:Pulse:Respiration:Temperature:Height:Weight:Manitou
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What is south bends portage manor?
South Bend's Portage Manor is a residential care facility located in South Bend, Indiana.
Who is required to file south bends portage manor?
The owners or administrators of the property where South Bend's Portage Manor is located are required to file.
How to fill out south bends portage manor?
To fill out South Bend's Portage Manor form, you need to provide detailed information about the property, its residents, and any relevant care services provided.
What is the purpose of south bends portage manor?
The purpose of South Bend's Portage Manor is to ensure that the facility is providing proper care and services to its residents.
What information must be reported on south bends portage manor?
Information such as the number of residents, their medical needs, staff qualifications, and any incidents or complaints must be reported on South Bend's Portage Manor form.
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