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Get CA LIC 602 2011-2023

Ent 3. Wears dentures 4. Special diet 5. Substance abuse problem 6. Bowel impairment 7. Bladder impairment 8. Motor impairment 9. Requires continuous bed care II. MENTAL HEALTH STATUS: ■ 1. Confused 2. Able to follow instructions 3. Depressed 4. Able to communicate III. CAPACITY FOR SELF CARE: ■ GOOD YES ■ ■ FAIR ■ NO POOR COMMENTS: NO OCCASIONAL PROBLEM NO (Check One) Able to care for all personal needs 2. Can administer and store own medications.

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