Bed Or Service Request {CDPH 609} | Pdf Fpdf Doc Docx | California

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Bed Or Service Request {CDPH 609} | Pdf Fpdf Doc Docx | California

Last updated: 5/30/2015

Bed Or Service Request {CDPH 609}

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Description

CDPH 609, This form is intended to identify the types of beds or services requested for adult day health center, acute psychiatric hospitals, general acute care hospitals, special hospitals and skilled nursing facilities. For new facilities, complete the column marked “Requested Beds.” For existing facilities, complete both columns. The form is to accompany the application form (HS 200) for any new facility, change in capacity, service, or bed classification. www.FormsWorkflow.com

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