Unusual Home/Social Environment /v'/A 19. Indicate Any Time When the Home Health
... Yr.) i Z/lf/O? Form HCFA-486 (C3) (02-94) (Pnnt Aligned) PROVIDER ...
Unusual Home/Social Environment /v'/A 19. Indicate Any Time When the Home Health
... Yr.) i Z/lf/O? Form HCFA-486 (C3) (02-94) (Pnnt Aligned) PROVIDER ...