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Get level of care assessment

Adapted from the Shelter Medical Group Report: Evacuation, Care and Sheltering of the Medically Fragile. Available at www.emsa.ca.gov/disaster/files/TOOLKIT.pdf FACILITY NAME: DATE: COMPLETED BY: TIME: LEVEL OF CARE FACILITY TYPE TRANSPORT TYPE NUMBER OF RESIDENTS LEVEL I Description: Patients/residents are usually transferred from in‐patient medical treatment facilities and require a level of care only ava.

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