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235709

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This form is used for tracking clients in New Jersey. It provides instructions on how to complete Form ACS-13.

This form is used for collecting feedback and evaluations from participants attending a workshop in New Jersey.

This form is used for personnel involved in the Chronic Disease Self-management Education Program in New Jersey to sign a non-disclosure agreement with the Administration for Community Living.

This document is for completing peer leader training in New Jersey to take control of your health. It's a certificate of completion for the training program.

This form is used for referring individuals to the Managed Long Term Services and Supports (MLTSS) Medicaid waiver program in New Jersey for Assisted Living/Adult Family Care (AL/AFC).

This Form is used for making referrals for assisted living and adult family care under the Managed Long Term Services and Supports Medicaid Waiver program in New Jersey.

This document is a summary of observations checklist for a workshop in New Jersey. It provides a summary of the observations made during the workshop and serves as a checklist for future reference.

This form is used for referring individuals in New Jersey to long-term services and supports. It helps assess their eligibility and needs for assistance with daily activities and healthcare services.

This form is used for submitting a referral for long-term services and supports in the state of New Jersey. It provides instructions on how to fill out the form and where to submit it.

This form is used for submitting a special request in the state of New Jersey. It is used for a specific purpose and allows individuals to make a request for a specific action or service.

This Form is used for submitting a special request to the state of New Jersey. It provides instructions on how to fill out and submit Form CP-10.

This form is used for notifying the state of New Jersey about the admission or termination of a Medicaid beneficiary in a long-term care facility.

This form is used for physicians in New Jersey to gather information about a patient's goals of treatment.

This form is used for physicians in New Jersey to certify certain medical conditions or treatments.

This form is used for certifying a physician's approval for a specific purpose in the state of New Jersey. Instructions on how to complete the form and submit it are provided.

This form is used for the re-evaluation of long-term care needs in the state of New Jersey. It helps determine the eligibility and level of care needed for individuals receiving long-term care services.

This form is used for an Individual Service Agreement in the state of New Jersey. It outlines the terms and conditions for specific services provided to an individual.

This form is used for Assisted Living Facility providers in New Jersey to enroll and indicate their intent to accept Room and Board (R&B) supplementation.

This form is used for assisted living facilities in New Jersey to notify the state about any supplementation of room and board costs for residents.

This form is used for recording the supplementation of a resident's room in a long-term care facility in New Jersey.

This document is used for tracking the movement of money in the Money Follows the Person program in New Jersey.

This form is used to apply for the correction of a death certificate in New York City for individuals who speak Chinese.

This document provides a step-by-step guide to help individuals navigate the application process for certification in Oregon. It includes important information and tips for a successful application.

This document provides task sheets for operations level responders in the state of Oregon. It outlines the specific tasks and responsibilities for responders in emergency operations.

This form is used for collecting background information from individuals in the state of Oregon. It is commonly used by employers, educational institutions, and other organizations as part of their application or admission process. The form typically asks for personal details, educational history, employment history, and references.

This type of document provides task sheets for Hazardous Materials Safety Officers in Oregon. It includes guidelines and instructions to ensure the safe handling and transportation of hazardous materials.

This document provides skill sheets for Fire Fighter II training in Oregon. It includes practical exercises and assessments to demonstrate proficiency in firefighting techniques and procedures.

This form is used for registering in the Mentored Youth Hunter Program in Oregon.

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