Get And Sign Cms 671 Fillable Form

Information on the rules and regulations involving this action please refer to http //www. in*gov/isdh/regsvcs/ltc/lawrules/index. htm An application should include the following forms and/or documentation 1. Documentation of compliance with Civil Rights requirements forms and instructions 5. State Form 4332 Bed Inventory enclosed 6. Facility floor plan on 8 x 11 paper to show room numbers and number of beds per room 7. Copy s of the Patient Transfer Agreement between the facility and local...