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Page Robbins Adult Day Care Center 1961 S. Houston Levee Road Collierville, TN 38017 9018541200 (phone) 9018545726 (fax) CLIENT APPLICATION TO BE SUBMITTED PRIOR TO ADMISSION INTERVIEW Client Information
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How to fill out Page Robbins Adult Day:
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Visit the Page Robbins Adult Day website or contact their office to obtain an application form.
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Start by providing your personal information, including your name, address, phone number, and email.
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Fill in the required fields related to your medical history, including any ongoing medical conditions or medications you are taking.
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Provide emergency contact information, including the names and phone numbers of individuals who can be reached in case of an emergency.
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Indicate any specific dietary restrictions or preferences you may have for meals and snacks during your time at Page Robbins Adult Day.
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Specify any mobility or accessibility needs you may have, to ensure that the facility can accommodate your requirements.
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Include any additional information or special requests that you would like Page Robbins Adult Day to be aware of during your time there.
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Ensure that you review the completed application form for accuracy and completeness before submitting it to Page Robbins Adult Day.
Who needs Page Robbins Adult Day:
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Individuals who are aging and require assistance with daily activities but want to retain their independence.
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Caregivers who need respite care for their loved ones to take a break from their caregiving responsibilities.
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Older adults with memory loss or cognitive impairments who can benefit from customizable programs and therapies offered at Page Robbins Adult Day.
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Individuals with physical disabilities or chronic health conditions who need supervision and support during the day.
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Older adults who are socially isolated and seeking a community-based environment to engage and interact with peers.
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By filling out the application form for Page Robbins Adult Day, individuals who would benefit from their services can ensure that they receive the appropriate care and support tailored to their needs.
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