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PRINTED: 08/11/2017 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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Obtain a copy of the Bey Lea Village Care application form from the official website or the office.
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Fill out the personal information section, including your name, address, and contact details.
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Provide details about your medical history and any current medications you are taking.
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Indicate your level of care needs and any specific requirements you may have.
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Attach necessary documents, such as identification and proof of income if required.
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Submit the application form either online or in person at the Bey Lea Village Care office.

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Bey Lea Village Care is a community health initiative aimed at providing comprehensive care and support services to residents in the Bey Lea area.
Residents of Bey Lea who utilize the health services provided by the village care program are required to file the necessary documentation.
To fill out the Bey Lea Village Care form, individuals must provide their personal information, details of services used, and any applicable health records as required by the program.
The purpose of Bey Lea Village Care is to ensure that residents receive adequate health support and access to necessary medical services in their community.
Information reported on Bey Lea Village Care typically includes personal identification, services received, health status, and any other relevant medical information.
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