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The document is a 'Request for Medical Eligibility Determination' form (BHSF Form 90-L) used to assess an individual's need for medical services, including nursing home placement. It collects detailed recipient information, previous care history, and current living arrangements. The form also requires a level of care determination by a physician, outlining the type of care needed, and includes sections for medical information such as diagnosis, medications, hospitalizations, mental status, activities of daily living, special care procedures, and physical examination details.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (61 Votes)
2008	4.4 Satisfied (581 Votes)

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How big is a 90l storage bag?

Measurements Item Dimensions L x W x H23.62L x 16.93W x 13.78H Storage Volume 90 Liters Number of Compartments 1 Unit Count 1.0 Count Package Quantity 64 more rows

How many bottles of wine is 90 litres?

The guideline is 90 litres of wine (120 bottles) but more if you can prove its for personal use.

How big is a 90L basket?

[Large Size] The laundry basket is 15(L)x15(W)x31(H) with a capacity of 90L. Larger than most other laundry baskets on the market and can easily accommodate a variety of items you want to store, including dirty clothes, wet towels, pillows, quilts, etc.

How big is a 90 quart storage bin?

Measurements Item Dimensions L x W x H29.75L x 13.5W x 18.75H Capacity 90 Quarts Item Weight 5.75 Pounds

How big is a 90L backpack?

90L large hiking backpack size: 75x35x25cm/ 29.5x10x13. 8x inches. Enough for a 5 or 7 days trip.

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How big is 90L storage box?

Euro Plastic Stacking Box - 90 Litres - 600x400x430mm Euro stacking box made of Polypropylene plastic (PP) with dimensions 600x400x430mm. The capacity of this plastic container is 90L. The internal dimensions are 569x366x430mm. The weight of this stacking box is 3.5kg.

90 l 2025

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