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Extended Care Program
20092010 School Year
Child's Name
Please enroll my child in the 20092010 school age program.
My child will be in
grade when school begins and will attend the school marked
below:
Chimney
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How to fill out extended care program

How to fill out an extended care program:
01
The first step is to obtain the necessary forms for the extended care program. These forms can typically be found on the organization's website or requested from the program administrator.
02
Once you have the forms, carefully read through the instructions provided. It's important to understand the requirements and any specific information that needs to be included.
03
Begin by filling out your personal information, such as your name, address, and contact details. Make sure to provide accurate and up-to-date information.
04
Next, you will usually be asked to provide information about your current healthcare coverage, including the name of your insurance provider and policy number.
05
If applicable, indicate any pre-existing medical conditions or specific needs that require extended care. This will help the program administrators understand your requirements better.
06
Review the eligibility criteria for the extended care program and check if you meet the requirements. If there are specific documents or proofs required, gather them and include them with your application.
07
Complete any additional sections or questions that are specific to the extended care program you are applying for. These might include details about your financial situation or employment status.
08
Once you have filled out all the necessary information, review your application for any errors or omissions. It's essential to ensure that all the provided information is accurate and complete.
09
Attach any supporting documents requested by the program administrator, such as income statements or copies of medical records. Ensure that these documents are organized and easy to understand.
10
Finally, double-check that you have signed and dated the application form. Failure to do so could result in delays or rejection of your application.
Who needs an extended care program:
01
Individuals who have chronic illnesses or long-term medical conditions that require ongoing care and support.
02
Elderly individuals who may need assistance with daily activities or specialized healthcare services.
03
People with disabilities who require additional support and resources to maintain their independence and overall well-being.
04
Caregivers or family members who are responsible for the care of a loved one and may benefit from educational or respite services provided through the program.
05
Individuals who do not have access to affordable healthcare options or insurance coverage, and require assistance with medical expenses and services.
06
Patients who have recently been discharged from a hospital or rehabilitation facility and need continued care and monitoring to aid in their recovery process.
07
Anyone who believes they may benefit from the extended care program and meets the eligibility criteria as outlined by the program administrators.
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What is extended care program?
Extended care program is a program that provides additional care and services for individuals who require extra support beyond the standard level of care.
Who is required to file extended care program?
Healthcare providers, hospitals, and other relevant organizations are required to file extended care program.
How to fill out extended care program?
Extended care program can be filled out by providing detailed information about the individual's medical history, current needs, and any specific requirements for additional care.
What is the purpose of extended care program?
The purpose of extended care program is to ensure that individuals receive the necessary support and services to meet their healthcare needs effectively.
What information must be reported on extended care program?
Information such as the individual's medical history, current healthcare needs, and any specific requirements for additional care must be reported on extended care program.
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