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Get LA OAAS-PF-10-010 2015-2024

Time W/ Initials→ PARTICIPANT DOB: Through: Sunday Monday Tuesday Wednesday Thursday Friday Saturday 1st Departure Time W/ Initials→ 2nd Arrival Time W/ Initials→ 2nd Departure Time W/ Initials→ ↓ Tasks ↓ ↓ Indicate Task Completed Each Day W/Initials ↓ Eating Bathing Dressing Grooming Transferring Ambulation Toileting Light Housekeeping Food Preparation & Storage Shopping Laundry Medication Reminders Assist To Sched Med Appts Assist To Arrange Med Trans Accompany To Med.

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Keywords relevant to LA OAAS-PF-10-010

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  • PF
  • OAAS
  • toileting
  • sched
  • ambulation
  • issuance
  • reissued
  • dob
  • supervisors
  • Reminders
  • replaces
  • participant
  • descriptions
  • optional
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