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Long Term Care Professional Medical Information Page (PMIP) Dear Medical Provider: The following participant had a functional assessment to determine eligibility for long term services and supports.

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  2. Open it using the online editor and start editing.
  3. Fill the blank fields; concerned parties names, addresses and numbers etc.
  4. Change the template with smart fillable areas.
  5. Include the particular date and place your electronic signature.
  6. Click Done following twice-examining everything.
  7. Download the ready-made record to your system or print it out like a hard copy.

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