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Get Residential Indentification And Emergency Information

F the Department to be maintained on every person admitted to a community care facility, to be readily available to the person in charge, but not accessible to unauthorized persons. All information must be kept current. See other side for additional information required for residential facilities for children. IDENTIFICATION AND EMERGENCY INFORMATION A. ALL FACILTIES 700 EXCEPT CHILD CARE CENTER/FAMILY CHILD CARE HOME COMPLETES LIC 1. NAME OF CLIENT OR CHILD SOCIAL SECURITY NUMBER DATE OF.

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