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The document DHS-1503-ENG is a Physician Certification form used for long-term care (LTC) admissions. It requires detailed information about the provider, recipient, admission details, and physician's certification of the need for long-term care services. The form must be completed within 72 hours of admission and includes sections for diagnoses, screening information, and authorized signatures.

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Versions	Form popularity	Fillable & printable
2017	4.9 Satisfied (44 Votes)
2008	4.1 Satisfied (75 Votes)

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