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Get MI BCAL-3265 2016-2024

He licensee is responsible for assuring that a written assessment plan is completed. This form has been approved by the Department of Licensing and Regulatory Affairs and contains the information required by administrative rule and Section 3 (9) of.1979 P.A. 218. This form is to be completed by the licensee and resident, or the resident’s designated representative. The responsible agency, if any, may assist in this process. Use additional sheets if necessary and PRINT CLEARLY. Name of Residen.

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