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Form # CMS 10036
Form Title Inpatient Rehabilitation Facility-Patient Assessment Instrument
Revision Date 01/01/06
O.M.B. # 0938-0842
O.M.B. Expiration Date 03/31/09
CMS Manual N/A
Special Instructions N/A

 


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CMS 10036
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Last Modified Date : 04/10/2006
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