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Get NY DOH-3122 2012-2024

Mittent  Continual  4. Manage Medical Equipment: Manages Independently  Cannot Manage Independently  ADDITIONAL SERVICES IF INDICATED BY RESIDENT NEED: Pertinent medical/mental findings requiring follow-up by facility (e.g. skin conditions/acute or chronic pain issues) or any additional recommendations for follow-up: None  or if yes, describe_____________________________ ___________________________________________________________________________________________________________.

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