For JAWS users to read and complete the form, save the form as a Word document.

DADS Forms and Instructions

Form 2406-S

Form Record:

Number: 2406-S
Title: Physician Recommendation for Length of Stay in a Nursing Facility (Spanish)
Effective Date: 03/2013
Instructions 11/2012

Availability

Word: 2406-S.doc
Pdf: 2406-S.pdf