Here you go, you just need to take out the No deficiency Information, etc......... (I use this form for "no deficiencies") - so if you delete the information and save it blank - this should do you.
 
Jennie

Kathy Archibald <[EMAIL PROTECTED]> wrote:
Does anyone have this in a word document (I can't type on the .pdf file)? If you do, thanks so much! and a merry christmas!
Kathy Archibald RN Living Center Supervisor
FAX 1-208-547-2790
Voice 1-208-547-2771
email [EMAIL PROTECTED]


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Attachment: No deficiency 2567.doc
Description: No deficiency 2567.doc

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