Dhs 1503-2025

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75 votes

The document is a fillable form (DHS-1503-ENG) for physician certification related to long-term care services. It requires information about the provider, recipient, admission details, diagnoses, and screening status. The form must be completed by the long-term care facility within 72 hours of a Medical Assistance recipient's admission and includes instructions for proper completion and submission.

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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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