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| Descripción | You must mail or fax form. No emailed forms are accepted. This assessment tool is provided by L&I assessment to determine the medically appropriate level of care that will meet the Injured Worker’s needs, abilities and safety in a residential facility. This assessment is not intended as a substitute for DSHS annual assessment & treatment plan, which is the sole financial responsibility of the facility. | |
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| Número del formulario | F245-377-000 | |
| Disponibilidad | Online only | |
| Palabras claves | long term, long term care, LTC | |
| Idiomas | English | |
| Fechas válidas | 06-2009 | |
| Contacto |
Healthcare Treatment Guidelines/Information
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