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Get TX 3641 2014-2024

Ing to the care and services that your facility provides. You may not amend the statement, but you may attach an addendum to expand on your answers. 2. Provide copies of this Disclosure Statement to anyone who requests information on Alzheimer's or related dementia care in your facility. Facility Name Facility ID No. Telephone No. Address Manager Date Disclosure Statement Completed Completed By: Title Completed By: Title Completed By: Title The Items checked apply to this facility: F.

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Keywords relevant to TX 3641

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