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I hereby authorize release of medical information in this report to …
WebFeb 17, 2024 · Form 602a is the California state physician’s report that informs a licensed residential care facility for the elderly about a potential resident’s needs for care, … Webreport instructions : notify licensing agency, placement agency and responsible persons, if any, by next working day. submit written report within 7 days of occurrence. retain copy of report in client’s file. name of facility facility file number city, state, zip Web101 Lander Avenue. Turlock, CA 95380. 1-800-432-5378. Caring Advocates. 45 Bulkley Avenue #4. Sausalito, CA 94965. 1-800-647-3223. If you are interested in becoming an approved medallion provider for the State of California please contact the EMS Authority at (916) 322-4336. black aces tactical 12 gauge buckshot review