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Adult Residential Licensing

    https://www.dhs.pa.gov/providers/Clearances-and-Licensing/Documents/PCH%20Residential%20Licensing/Documentation%20of%20Medical%20Evaluation%20(DME).pdf

    Assisted Living Residence - Documentation of …

      https://www.dhs.pa.gov/providers/Documents/Human_Services_Licensing/AssistedLivingResidenceLicensing/p_023468.pdf
      § 2800.141(a) - A resident shall have a medical evaluation by at least annually. The medical evaluation must include the following: 1. A general physical examination by a physician, …

    Instructions for Completing MA-51 Medical Evaluation

      https://www.dhs.pa.gov/providers/Providers/Documents/NHT%20Providers/MA%2051.pdf
      Enter the physician license number, not the Medical Assistance number. 9. Evaluation At. Enter 1-5 to describe where evaluation took place. If 5 is used, specify where evaluation …

    Documentation of Medical Evaluation (DME - Formalu

      https://www.formalu.com/forms/79865/documentation-of-medical-evaluation-dme
      Documentation of Medical Evaluation (DME Department of Human Services Home US Pennsylvania Agencies Department of Human Services Documentation of Medical …

    49 Pa. Code § 16.95. Medical records. - Pennsylvania Bulletin

      https://www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/049/chapter16/s16.95.html
      Medical records. § 16.95. Medical records. (a) A physician shall maintain medical records for patients which accurately, legibly and completely reflect the evaluation and treatment …

    Form MA-51 Medical Evaluation - Pennsylvania

      https://www.templateroller.com/template/1915650/form-ma-51-medical-evaluation-pennsylvania.html
      Form MA-51 Medical Evaluation - Pennsylvania What Is Form MA-51? Form MA-51, Medical Evaluation, is a formal document used by Pennsylvania licensed doctors to recommend a level of care for their …

    Documentation of Medical Evaluation (DME) - A …

      http://beta.asoundstrategy.com/sitemaster/userUploads/site433/ARL%20Documentation%20of%20Medical%20Evaluation%20-%2011.1.11.doc
      - The medical evaluation shall include the following: (1) A general physical examination by a physician, physician's assistant or nurse practitioner. (2) Medical …

    Application Forms - Pennsylvania Department of State

      https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Pages/Application-Forms.aspx
      Note: This mailbox is reserved for receipt of documentation specific to letters of good standing, exam information, disciplinary documents, transcripts and other education or …

    Forms - Department of Human Services

      https://www.dhs.pa.gov/docs/Pages/Forms.aspx
      Mental Health in PA; Mass Care and Emergency Assist; Other Services; Find a Document. Find a Document; For Providers; Publications; The Impact; Forms; About. About; DHS …

    Medical Reporting - PennDOT Driver & Vehicle Services

      https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/MedicalReporting.aspx
      Medical Reporting and PennDOT Review Process (PDF) Medical Reporting FAQ Medical Reporting Forms Reporting of Medical Conditions Affecting Driver Safety (PDF) Talking …



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