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Get MI BCAL-3266 2015-2024

Reement to provide adult foster care for (resident’s name) between (licensee name) . is made and (resident/resident’s designated representative)  This agreement is required to be completed at the time of a resident’s admission, reviewed annually, and updated as needed to reflect changes.  This agreement is to be completed by the licensee in cooperation with the resident or his/her designated representative and the responsible agency, if applicable, Designated representative mean.

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