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Get WA DSHS 02-516 2017-2024

Ident Manager and the resident or the resident’s guardian or agent sign. File in the resident’s record. Records and information concerning each person in care shall be maintained in such a manner as to preserve confidentiality. RESIDENT’S NAME NAME OF RESIDENT’S GUARDIAN CONTACT LENSES DENTURES EYE GLASSES HEARING AID JEWELRY WATCH MONEY/CHECKBOOK/CREDIT CARDS OTHER DATE OF ADMISSION CLOTHING LIST NUMBER ITEM DESCRIPTION Bathrobe Belt Blouse Brassiere Coat Dress Girdle Glov.

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