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Get OR DHS APD 2803 2018

Fety, Oversight and Quality Unit, Nursing Facility Complaint Intake): No later than 2 HOURS after the allegation: All alleged violations that involve abuse or any alleged violation resulting in serious bodily injury. No later than 24 HOURS after the allegation: All alleged violations that do not involve abuse or do not result in serious bodily injury. Today s date: Time: a.m. Complete facility name: p.m. Address: City: ZIP code: Phone number: Name of person reporting this incident fo.

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