Form LIC 602A, Physician's Report for Residential Care Facilities for the Elderly (RCFE) - also known as the LIC Form 602A - is a form used to inform a residential care facility about the physical and mental condition of the resident or prospective resident. The form is issued by the California Department of Social Services Community Care Licensing Division and revised in August 2011. Click on the link below to download the fillable form.
The form is used as a part of Community Care Licensing program, as well as its related Form LIC 602, Physician's Report for Community Care Facilities. The latter is used to determine if the individual is eligible for admission or continued care in the community care facility.
The Physician's Report for Residential Care Facilities for the Elderly (RCFE) is a document that must be completed for each resident or prospective resident of a residential care facility for the elderly in California. The residential care facilities for the elderly licensed by the California Department of Social Services (CDSS) are required to provide basic supervision and non-medical care. The state-required form is an obligatory document that provides information about the care needs, diagnosis, and medical history of an elderly person. All these details allow determining whether the resident or prospective resident can receive the appropriate care in the non-medical facility.