Common use of Continence Clause in Contracts

Continence. Bladder: Yes  No  If no, is incontinence managed? Yes  No  Bowel: Yes  No  If no, is incontinence managed? Yes  No  If no, recommendations for management: LABORATORY SERVICES: None New York State Department of Health ASSISTED LIVING RESIDENCE Division of Assisted Living MEDICAL EVALUATION Patient/Resident Name: _ Date: Activity Restrictions: No  Yes  (describe): Dependent on Medical Equipment: No  Yes  (describe): Level and frequency of assistance required/needed by the resident of another person to perform the following: