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Get Assessement Form For Mental Retardation

D community-based program has been explained to me. I have been advised that I may choose: (1) Home- and Community-Based Services or (2) Medical Institutional Services. I choose: HCBS Medical Institutional Services Signature of Consumer or Guardian or Durable Power of Attorney for Health Care Date The purpose of this assessment is to provide information for the required determination and redetermination of the level of care for the HCBS/MR mental retardation waiver program. All information.

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