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This version of the form is not currently in use and is provided for reference only. Download this version of
Form SFN662
for the current year.
Form SFN662 Personal Care Services Plan of Care - North Dakota
What Is Form SFN662?
This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SFN662?A: Form SFN662 is the Personal Care Services Plan of Care in North Dakota.
Q: What is the purpose of Form SFN662?A: The purpose of Form SFN662 is to create a personalized care plan for individuals receiving personal care services in North Dakota.
Q: Who uses Form SFN662?A: Form SFN662 is used by individuals receiving personal care services in North Dakota, their healthcare providers, and the state's Department of Human Services.
Q: What information does Form SFN662 require?A: Form SFN662 requires information such as the individual's name, address, medical conditions, medications, and the specific personal care services needed.
Q: How is Form SFN662 filled out?A: Form SFN662 is filled out by the individual receiving personal care services or their healthcare provider, with input from the individual's healthcare team.
Q: Is Form SFN662 specific to North Dakota?A: Yes, Form SFN662 is specific to North Dakota and is used for personal care services in the state.
Q: Is Form SFN662 legally binding?A: Form SFN662 is a legal document that outlines the agreed-upon personal care services for the individual and must be followed by healthcare providers.
Q: Are there any fees associated with Form SFN662?A: There are no fees associated with Form SFN662. It is a standard form used for personal care services in North Dakota.
Q: Can Form SFN662 be modified?A: Form SFN662 can be modified if there are changes in the individual's personal care needs, but any modifications must be documented and approved by the healthcare provider and the Department of Human Services.
Form Details:
- Released on August 1, 2018;
- The latest edition provided by the North Dakota Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form SFN662 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
Download Form SFN662 Personal Care Services Plan of Care - North Dakota
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