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PRINTED: 08/21/2023 FORM APPROVED Indiana Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:FRIENDS FELLOWSHIP COMMUNITY (X4) ID

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How to fill out grace village health care

01

Obtain the necessary forms from the Grace Village Health Care office.

02

Fill out all required personal information, including name, address, contact information, and insurance details.

03

Provide information on any medical conditions, medications, and allergies you may have.

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List any emergency contacts and specify any preferences for treatment or care.

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Review the completed form for accuracy and completeness before submitting it back to the Grace Village Health Care office.

Who needs grace village health care?

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Grace Village Health Care is suitable for individuals who require medical attention or assistance with healthcare needs, including but not limited to senior citizens, individuals with chronic illnesses, and those recovering from surgery or injury.

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What is grace village health care?

Grace Village Health Care is a community healthcare center that provides medical services to residents.

Who is required to file grace village health care?

All residents of Grace Village are required to file for health care services.

How to fill out grace village health care?

To fill out Grace Village Health Care, residents can visit the center and complete the necessary forms with the help of staff.

What is the purpose of grace village health care?

The purpose of Grace Village Health Care is to provide quality medical care and services to the community.

What information must be reported on grace village health care?

Residents must report their personal information, medical history, and any current health concerns on Grace Village Health Care forms.

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