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DE ONLY AND IS NOT TO BE USED AS AN ADMISSION AGREEMENT. TO LICENSEE/APPLICANT: All community care facilities are required to have written admission agreement between the facility and each client/resident (or authorized representative) who is received for services pursuant to applicable sections of the California Code of Regulations, Title 22, Division 6. This form has been designed to serve as a sample admission agreement for residential facilities. Please use this sample agreement and applicab.

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