Residential Care for the Elderly (RCFE) Physician's Report (CalAIM Adobe Sign)

All prospective RCFE residents must have a doctor fill out a RCFE/ARF Physician's Report (602) which is given to the RCFE owner.  One part of the report requires a TB test or chest x-ray within 6 months. The form requires two signatures: from the PCP and from the resident/patient or their authorized representative.

The printable version of the Physician's Report (602) is here.