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  • PHYSICIAN’S REPORT FOR COMMUNITY CARE FACILITIES
    It includes any person who is unable, or likely to be unable, to physically and mentally respond to a sensory signal approved by the State Fire Marshal, or to an oral instruction relating to fire danger, and persons who depend upon mechanical aids such as crutches, walkers, and wheelchairs
  • LIC 602A. PDF - RCFE Association
    The license requires the facility to provide primarily non-medical care and supervision to meet the needs of that person THESE FACILITIES DO NOT PROVIDE SKILLED NURSING CARE
  • LIC 602 (7 22) - NPCRS
    It includes any person who is unable, or likely to be unable, to physically and mentally respond to a sensory signal approved by the State Fire Marshal, or to an oral instruction relating to fire danger, and persons who depend upon mechanical aids such as crutches, walkers, and wheelchairs
  • Download the LIC 602 Form (Physician’s Report for RCFE Placement)
    What Is the LIC 602 Form? The LIC 602A Form is a mandatory California Department of Social Services (CDSS) document required for admission to any licensed RCFE in the state
  • Forms and Publications (I-L) - California Dept. of Social Services
    Problems with downloading forms? Tips for Using Adobe PDF Files
  • LIC 602 - Project New Hope
    It includes any person who is unable, or likely to be unable, to physically and mentally respond to a sensory signal approved by the State Fire Marshal, or an oral instruction relating to fire danger, and persons who depend upon mechanical aids such as crutches, walkers, and wheelchairs
  • Physicians Report for Residential Care Facilities for the Elderly (RCFE)
    The license requires the facility to provide primarily non-medical care and supervision to meet the needs of that person THESE FACILITIES DO NOT PROVIDE SKILLED NURSING CARE
  • Physicians Report For Community Care Facilities (LIC 602)
    The purpose of the LIC 602 form is to collect information about an individual seeking admission or continued care in a residential care facility The California Department of Social Services uses the form to determine whether the individual is appropriate for such care
  • LIC 602A (4 25) Medical Assessment for Residential Care Facilities for . . .
    NOTE TO LICENSED MEDICAL PROFESSIONAL: The person patient named below is either a prospective resident or resident of a Residential Care Facility for the Elderly (RCFE) licensed by the Department of Social Services The licensee is required to provide primarily non-medical care and supervision to meet the needs of that person patient
  • ️ LIC 602 Signing Authority: MD, NP, or PA? (2025 Update) — LIC602
    Learn about the major 2025 change expanding signing authority beyond MDs DOs Read our guide to confirm who is authorized and request your completed, up-to-date LIC 602 form today





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