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CENTURY METHODIST DAY SCHOOL 5200 Willow bend Blvd., Houston, Texas 77096 www.westburyumc.org 2016-2017 APPLICATION FOR EXTENDED CARE — DAY SCHOOL Application Date APPLICATION FEE: $75.00 Child's
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How to fill out an extended care application:

01
Start by gathering all the necessary information and documents. This may include personal information, medical history, insurance details, emergency contact information, and any specific care requirements.
02
Carefully read and understand the application form. Pay attention to any instructions or sections that require additional documentation or signatures.
03
Fill out the application form accurately and completely. Double-check the information to ensure there are no mistakes or missing details.
04
Provide any supporting documents or attachments required, such as medical reports or consent forms. Make sure to attach them securely to the application form.
05
Review the completed application thoroughly before submitting it. Look for any errors or missing information.
06
Follow the instructions provided for submitting the application. This may include mailing it to a specific address or submitting it electronically through an online portal.

Who needs an extended care application:

01
Individuals who require long-term medical or personal care may need an extended care application. This can include seniors, individuals with chronic illnesses or disabilities, or those recovering from surgeries or accidents.
02
People who are planning to stay in a nursing home, assisted living facility, or rehabilitation center often need to complete an extended care application. This helps the facility assess the individual's needs and determine their eligibility for the care services provided.
03
Family members or legal guardians of individuals who are unable to complete the application themselves may need to fill out the extended care application on their behalf.
Note: The specific requirements for an extended care application may vary depending on the facility or organization offering the care services. It's important to carefully read and follow the instructions provided by the specific care provider.
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Extended care application is a form used to apply for additional care services beyond the standard offerings.
Individuals who require extra care services and support are required to file extended care application.
Extended care application can be filled out by providing personal information, details of care services needed, and any relevant medical history.
The purpose of extended care application is to ensure that individuals receive the necessary care services tailored to their specific needs.
Information such as personal details, care requirements, medical history, and any additional support needed must be reported on extended care application.
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Relevant keywords

2016 Texas MDO WESTBURY westburyumc Willowbend M-F 1st MF Birthdate custodial incur Blvd METHODIST HOURLY payable org Mondays Dismissal enrolled Conferences Fridays

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