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DHS2828AENG917LONGTERM SERVICES AND SUPPORTSNotice of Action (Assessments and Reassessments) You are receiving this form because you recently had an assessment or reassessment.Disinformation You NAMEADDRESSPMIPHONE
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01
Obtain a copy of the DHS-2828a-eng form.
02
Fill in the personal information section including name, address, and contact details.
03
Provide information about the individual needing long-term services including medical history and current health status.
04
Fill out the section related to the type of services needed and why they are necessary.
05
Include any supporting documentation or medical reports as required.
06
Review the completed form for accuracy and completeness before submitting it to the relevant authority.

Who needs dhs-2828a-eng long-term services and?

01
Individuals who require long-term services and support due to medical conditions or disabilities.
02
Family members or caregivers of individuals in need of long-term services.
03
Healthcare providers or social workers advocating for patients who require ongoing care and assistance.
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dhs-2828a-eng long-term services and is a form used to report information about long-term services and supports received by individuals.
Individuals who have received long-term services and supports are required to file dhs-2828a-eng.
To fill out dhs-2828a-eng, individuals need to provide detailed information about the long-term services and supports they have received.
The purpose of dhs-2828a-eng is to track and monitor the long-term services and supports provided to individuals.
Information such as the type of services received, duration of services, and provider information must be reported on dhs-2828a-eng.
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