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Brock Geriatric Assessment Program 720 Since Street, Beaverton ON L0K 1A0 Phone: 7054323322 Fax: 7054264215 REFERRAL CLIENT NAME: Date of Birth (D×M/Y): Address: City: Postal Code: Phone: (Home)
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How to fill out the Brock Geriatric Assessment Program?

01
Begin by gathering all the necessary documents and forms required for the assessment program. This may include medical records, previous assessment reports, and any other relevant information.
02
Carefully review the instructions provided with the assessment program. Familiarize yourself with the specific sections and questions that need to be completed.
03
Start with the demographic information section. This usually includes personal details such as name, age, contact information, and medical history. Ensure accuracy and completeness when filling out this section.
04
Move on to the medical history section. Provide detailed information about any existing medical conditions, past surgeries, medications being taken, and any allergies or adverse reactions to medications.
05
Answer the questions related to functional capacity. This section assesses the individual's ability to perform daily activities such as bathing, dressing, eating, and mobility. Provide honest and accurate responses to help evaluate the level of assistance required.
06
Complete the cognitive assessment section. This may involve answering questions or performing certain tasks to assess memory, attention, and problem-solving abilities. Take your time and answer to the best of your ability.
07
Next, fill in the social support section. This examines the individual's social network, living arrangements, and support systems. Include details about family members, caregivers, or any community resources utilized.
08
If applicable, provide information regarding the individual's mental health and emotional well-being. This may involve answering questions about mood, anxiety, or any psychological symptoms experienced.
09
Lastly, carefully review your responses before submitting the assessment program. Double-check for any errors or missing information. Ensure that all sections have been completed accurately.

Who needs the Brock Geriatric Assessment Program?

01
Older adults who are experiencing cognitive decline or changes in their physical functioning may benefit from the Brock Geriatric Assessment Program. It is specifically designed to assess the overall health, functional capacity, and mental well-being of older individuals.
02
Individuals who require an in-depth evaluation of their medical history, cognitive abilities, and social support systems can benefit from this assessment program. It provides a comprehensive assessment to help healthcare professionals develop personalized care plans.
03
Family members or caregivers of older adults who are concerned about their loved one's health, well-being, and ability to live independently may find the Brock Geriatric Assessment Program useful. It offers insights into an individual's needs and identifies areas where additional support may be necessary.
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The Brock Geriatric Assessment Program is a comprehensive, interdisciplinary program for assessing and managing the health and well-being of older adults.
Healthcare providers and facilities that serve older adults are required to file the Brock Geriatric Assessment Program.
The Brock Geriatric Assessment Program can be filled out online or through a paper form provided by the program administrators.
The purpose of the Brock Geriatric Assessment Program is to ensure that older adults receive comprehensive and coordinated care to address their unique healthcare needs.
The Brock Geriatric Assessment Program requires reporting on the medical history, physical exam findings, cognitive assessments, social support systems, and treatment plans for older adults.
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