Appendix_B_Patient_Medical_Appts.pdf

PDF 33 KB Posted

Attached to
Long Term Nursing Home Care Services and Facilities Federal contract opportunity
Solicitation number
17-258-SOL-00002
Issued by
Department of Health and Human Services Health Resources and Services Administration

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Appendix B - Patient Medical Appointments Form

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Other files for this federal contract opportunity

Other files attached to Long Term Nursing Home Care Services and Facilities, newest first.
File Type Posted
Appendix_A_Medical_Auth._form.pdf PDF
RFP_17-258-SOL-00002.pdf PDF
Attachment_B_-_CPARS_Information_Sheet.pdf PDF
Attachment_A_SOW_10122016.pdf PDF
Appendix_C_Change_in_Health_Status_Rpt.pdf PDF
Attachment_D_-_Subcontracting_Plan_Review_Form.doc DOC document
Attachment_C_-_PP_Questionnaire.pdf PDF
Sources_Sought_11072016.pdf PDF

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Appendix B Number of Medical Appointments by Patient Per Month

Medical Appointment Form 03.29.2016

Patient's Name Number of Medical Appointments

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