Form HFS2234 (IL478-1157) Long Term Care Bed Reserve / Temporary Absence Form - Illinois

Form HFS2234 (IL478-1157) Long Term Care Bed Reserve / Temporary Absence Form - Illinois

What Is Form HFS2234 (IL478-1157)?

This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HFS2234?
A: Form HFS2234 is the Long Term Care Bed Reserve/Temporary Absence Form specific to the state of Illinois.

Q: What is the purpose of Form HFS2234?
A: The purpose of Form HFS2234 is to reserve a bed in a long-term care facility or report a temporary absence for a resident in Illinois.

Q: How do I obtain Form HFS2234?
A: Form HFS2234 can typically be obtained from the Illinois Department of Healthcare and Family Services or the long-term care facility where the resident is receiving care.

Q: What information is required on Form HFS2234?
A: Form HFS2234 requires information such as the resident's name, identifying information, facility information, dates of requested bed reservation, and reason for the temporary absence.

Q: Why is a bed reservation or temporary absence reported?
A: A bed reservation or temporary absence is reported to ensure that the resident's bed in a long-term care facility is kept available during their absence or to notify the facility of the resident's planned return.

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Form Details:

  • Released on November 1, 2008;
  • The latest edition provided by the Illinois Department of Healthcare and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HFS2234 (IL478-1157) by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.

Download Form HFS2234 (IL478-1157) Long Term Care Bed Reserve / Temporary Absence Form - Illinois

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