Form CMS-3070G ICF for Persons with Mental Retardation Survey Report

Intermediate Care Facility for the Mentally Retarded or Persons with Related Conditions ICF/MR Survey Report Form (3070G-I) and Supporting Regulations at 42CFR 442.30, 483.410, 483.420,...

CMS-3070G-I Forms.tif

Intermediate Care Facility for the Mentally Retarded or Persons with Related Conditions ICF/MR Survey Report Form (3070G-I)

OMB: 0938-0062

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0062 can be found here:

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