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KDHE Home - Health - Bureau of Health Facilities - LTC Annual Report

Long Term Care Annual Report Form

This page contains copies of the Long Term Care Annual Report form and instructions.  This report gathers information on long term care facility residents.  To view the report and instructions, you will need at least version 5.0 of the free Adobe Reader software.  Information regarding downloading the current version of Adobe Reader software and downloading pdf files can be found here.  The annual report form is made available as an interactive form which can be completed while on your screen then printed.  See instructions below and instructions on the form for additional information.