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This document is used to record an individual's choice of services under the Community Supports Waiver, informing them of their options for institutional or home and community-based services.

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How to fill out Freedom of Choice (Community Supports Form 1)

01

Obtain the Freedom of Choice (Community Supports Form 1) from the relevant authority or website.

02

Read the instructions carefully to understand the requirements and guidelines.

03

Enter your personal information accurately in the designated fields.

04

Provide details about your chosen community support services, ensuring they match your needs.

05

Specify any preferences regarding service providers, if applicable.

06

Review the completed form for any errors or omissions.

07

Submit the form to the designated entity as instructed.

Who needs Freedom of Choice (Community Supports Form 1)?

01

Individuals who are eligible for community support services.

02

Persons seeking to select specific service providers for their support needs.

03

Caregivers and family members of individuals with disabilities or special needs.

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What is Freedom of Choice (Community Supports Form 1)?

Freedom of Choice (Community Supports Form 1) is a document that allows individuals to choose their community support services and providers based on their personal preferences and needs.

Who is required to file Freedom of Choice (Community Supports Form 1)?

Individuals who are receiving community support services or those who are eligible for such services are required to file Freedom of Choice (Community Supports Form 1).

How to fill out Freedom of Choice (Community Supports Form 1)?

To fill out Freedom of Choice (Community Supports Form 1), individuals should provide personal information, select preferred service providers, and sign the form to indicate their choices.

What is the purpose of Freedom of Choice (Community Supports Form 1)?

The purpose of Freedom of Choice (Community Supports Form 1) is to ensure that individuals have the right to make informed choices about their community support services and to facilitate the selection of preferred providers.

What information must be reported on Freedom of Choice (Community Supports Form 1)?

The information that must be reported on Freedom of Choice (Community Supports Form 1) includes the individual's name, identification details, selected services, preferred providers, and any relevant signatures.

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