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LTL individual service plan Name: D E PA R T M E N T O F A G I N G Date: www.dpw.state.pa.us/About/OLTL/ Participant Information Name of Participant (Last, First, Middle) Date Address (Street, City,
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The oltl individual service plan is a personalized plan that outlines the specific services and supports needed by an individual receiving services through the Office of Long-Term Living (OLTL) in Pennsylvania.
Individuals receiving services through OLTL are required to have an individual service plan filed on their behalf.
The oltl individual service plan can be filled out by the individual receiving services, their legal guardian, or a representative from the service provider.
The purpose of the oltl individual service plan is to ensure that the individual receiving services has access to the appropriate supports and services needed to meet their unique needs and goals.
The oltl individual service plan must include information about the individual's medical history, current needs, goals, and the specific services and supports they will receive.
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