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0903a Evidence of DHSR approved HC training course as applicable. 0903a Agency Organization Chart. 1001a 8 Evidence of premise for operation. 0906a G.S. 131E-265 Rev8/12 Rev 5/16 gdh Date Qualifications of Director shall meet one or more of the following 1. 1007 a-d No Smoking policy 131E-143 Agency complaint policy with state hotline number s. 1007 c Health Care Personnel Registry reporting policy 10A NCAC 13O. Health Care Practitioner 2. At least 2 years of supervisory or management...
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Start by carefully reading through the survey form. Make sure you understand each question and the information that is being requested.
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Fill in your personal details accurately, such as your name, address, contact information, and any other relevant demographic information.
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Answer each question honestly and to the best of your knowledge. If you're unsure about a particular question, don't hesitate to seek clarification or provide an explanation if needed.
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Pay attention to any specific instructions or additional information provided alongside the questions. This could include additional forms to attach, documents to submit, or specific format requirements.
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Take your time to complete the survey thoroughly, ensuring that you haven't missed any questions or sections.
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Before submitting the survey, review your answers to check for any mistakes or omissions. It's important to provide accurate information to ensure the effectiveness of the home care services.
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Once you are satisfied with your answers, submit the completed survey as instructed, either by mail, email, or through an online submission portal.

Who needs an initial home care survey?

01
Individuals seeking home care services: Those who are in need of assistance with daily activities, medical care, or personal care may require an initial home care survey. This survey helps assess the individual's specific needs and preferences so that appropriate services can be provided.
02
Family members or caregivers: If you are responsible for finding or coordinating home care services for a loved one, you may need to fill out an initial home care survey on their behalf. This helps gather essential information about the individual's requirements, preferences, and medical history, ensuring that the home care providers can offer the most suitable care.
03
Healthcare professionals or social workers: Doctors, nurses, social workers, or other healthcare professionals involved in the care planning process may utilize initial home care surveys to gather comprehensive information about a patient's medical condition, functional abilities, and living situation. This information assists in developing personalized care plans and determining the appropriate level of care needed for the individual.
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The initial home care survey is a comprehensive assessment conducted by a home care provider to evaluate the needs and preferences of a client before starting any services.
Home care providers are required to file the initial home care survey before providing any services to a client.
The initial home care survey can be filled out by a trained professional from the home care agency, following a standardized format and including all necessary information about the client's needs.
The purpose of the initial home care survey is to assess the client's needs, preferences, and living conditions in order to provide personalized and effective care services.
The initial home care survey must include the client's medical history, current medications, daily activities, dietary preferences, and any special care instructions.
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