Notification of Room Change
Federal law requires advance notice of a room change.
F559 - §483.10(e)(6) The right to receive written notice, including the reason for the change, before the resident’s room or roommate in the facility is changed.
Briggs Notification of Room Change is designed to document:
Download a sample today!
F559 - §483.10(e)(6) The right to receive written notice, including the reason for the change, before the resident’s room or roommate in the facility is changed.
Briggs Notification of Room Change is designed to document:
| • | advance notice of a room change provided to the resident/resident representative |
| • | resident/resident representative agreement or refusal to the move |
| • | the reason for the room change |
| • | date and time of the move and more! |
Download a sample today!
- Size: 8 1/2" x 11" (detached)
- 2-part: Carbonless - white and pink copies
- Punching: 5-holes top and side
- Packaging: 100 per pack