The cover page of a disclosure statement shall state:
(1) the disclosure statement's date in a prominent location and in type that is boldfaced, capitalized, underlined, or otherwise set out from the surrounding written material so as to be conspicuous;
(2) that the provider is required to deliver a disclosure statement to an individual before the provider executes a continuing care contract with the individual or accepts payment of an entrance fee or a nonrefundable deposit from the individual; and
(3) that the disclosure statement has not been approved by a government agency to ensure the disclosure statement's accuracy.