Printable healthcare 487 med quest 1994 form-2025

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The document is a Home Health Certification and Plan of Care form approved by the Department of Health and Human Services, specifically for use by the Centers for Medicare & Medicaid Services. It outlines essential patient information, medical diagnoses, treatment plans, and safety measures necessary for providing home health care services. The form also includes sections for physician certification, patient prognosis, and legal disclaimers regarding the accuracy of provided information.

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Versions	Form popularity	Fillable & printable
2014	4.4 Satisfied (52 Votes)
1994	4.3 Satisfied (27 Votes)

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