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PRINTED: 07/24/2014 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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The 15b self-determination-right refers to the right of an individual or entity to make decisions about their own life and future.
Any individual or entity who wants to exercise their right to self-determination may file a 15b self-determination form.
To fill out a 15b self-determination form, one must provide personal information, details about their decision, and sign the form to confirm their choice.
The purpose of 15b self-determination is to respect and uphold an individual's autonomy and ability to make decisions about their own life.
The information reported on a 15b self-determination form typically includes the individual's name, decision, date, and signature.
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