NURSING FACILITY ADMISSION 2026

1. Click ‘Get Form’ to open the NURSING FACILITY ADMISSION form in the editor.
2. Begin by filling out the Ownership section with the name of your facility and the number of Texas facilities you operate. This information is crucial for compliance.
3. In the Person Requesting section, enter your name, telephone number, and mailing address. Ensure all details are accurate for effective communication.
4. Select the appropriate number of facilities from the options provided. This will determine your total cost, which is outlined in the pricing table.
5. Calculate and enter the Total Enclosed amount based on your selection. Make sure to review this before proceeding.
6. Finally, print your name, sign, and date at the bottom of the form to complete your purchase agreement.

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