| 18635-3 | Psychiatric rehabilitation treatment plan, Signature date Date and time |
| 27481-1 | Alcohol-substance abuse rehabilitation treatment plan, Signature date Date and time |
| 27522-2 | Cardiac rehabilitation treatment plan, Signature date Date and time |
| 27554-5 | Skilled nursing treatment plan, Signature date Date and time |
| 27605-5 | Occupational therapy treatment plan, Signature date Date and time |
| 27668-3 | Physical therapy treatment plan, Signature date Date and time |
| 27707-9 | Respiratory therapy treatment plan, Signature date Date and time |
| 27758-2 | Medical social services treatment plan, Signature date Date and time |
| 29200-3 | Speech therapy treatment plan, Signature date Date and time |