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Enteral feeding / Feeding tube / Medical equipment / Child care / Medical prescription / Nursing home / Medicine / Health / Healthcare


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION GASTROSTOMY - TUBE CARE CONSENT/VERIFICATION
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Document Date: 2009-04-16 11:12:54


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Facility

PRINT NAME AND ADDRESS OF CHILD CARE FACILITY / /

IndustryTerm

stoma site / /

MedicalCondition

vomiting / nausea / flushing / /

MedicalTreatment

tube feeding / /

Organization

OR STAFF / HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION GASTROSTOMY / /

Person

Gastrostomy-Tube Care / /

Position

physician / assistant / nurse / registered nurse / representative / /

Product

LIQUID medication / /

ProvinceOrState

California / /

SocialTag