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Get Lara Involuntary 2016-2024

Act Person Title Nursing Home Address Contact Person’s Telephone Number City State ZIP Code Michigan THIS NOTICE IS TO ADVISE YOU THAT: You will be transferred or discharged to: Effective date of Transfer: Reason for Involuntary Transfer/Discharge (MCL 333.21773): Medical Reasons Patient’s Welfare Welfare of Other Patients or Nursing Home Employees Nonpayment for the Patient’s Stay (see Section 21773(d)) Explanation of Reason Above: LARA-BCHS-LTC-502 (REV 03/11/2016) Authority: P.A.

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