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PDF-State of Illinois Department of Human Services PDF document

SPECIFIC LEVEL OF FUNCTIONING ASSESSMENTAND PHYSICAL HEALTH INVENTORYIL4621215 R908 formerly DMHDD 1215Page 2 of 6Instructions Check the number that best describes

skills person ofthis functioning person skills functioning ofthis 1215 check physical care general level work properly mark state individual

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State of Illinois Department of Human Services: Transcript

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