Education Substitutes: BS degree plus one (1) year at the lead level or Associates degree with three (3) years at the lead level will substitute for four (4) years with two (2) years at the lead level if coming from a service-related position such as customer service, banking, or finance ORBS degree plus one (1) year at the lead level will substitute for four (4) years with two (2) years at the lead level. These forms/documents include but are not limited to Advance Directives, Lewis Blackman Patient Safety Act, Notice of Privacy Practices, Patient Rights and Responsibilities, Permission to Treat, Limited Visitation Policy, Medicare Admission Questionnaire, Medicare Important Message and Medicare Outpatient Observation Notice.