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EFTA00048963_sub_003 - EFTA00048963_300
odlcai provider. Ala minimum, the record sheet must be signed al least once each day by the medical provider. Comments: i.e., Conduct. Antludo, etc. Actrericcal comment; on reverse side must include date, agnature, and title. OIC Signature: OIC must sign at record sheets each shit (OIC • Jnit 0Mce0 PDF Pre
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