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Wandering Person Program Intake Form Date: ... Police, Fire, EMS, and9-1-1 Dispatch personnel. ... Staple photo to form School photo is acceptable.
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How to fill out wandering person program intake
How to fill out wandering person program intake:
01
Start by downloading the wandering person program intake form from the program's official website or obtaining a physical copy from the program office.
02
Read the instructions on the form carefully to ensure that you understand the information required and any specific guidelines for completing the intake.
03
Begin by providing your personal information, including your full name, date of birth, address, and contact information. Make sure that all the information is accurate and up to date.
04
Proceed to answer the various questions on the form regarding the person who is considered a wandering person. This may include their name, age, relationship to you, and any specific details about their wandering tendencies or behaviors.
05
If applicable, provide information about any medical conditions or special needs that the wandering person may have. This is important for the program to have a comprehensive understanding of the individual's requirements and potential risks.
06
Fill out any additional sections or questions on the form that pertain to the wandering person program, such as emergency contacts, preferred methods of communication, or any previous involvement with similar programs.
07
Review the completed form to ensure that all the information provided is accurate, clear, and legible. Double-check for any missing or unanswered questions.
08
Sign and date the form to certify that the information provided is true and accurate to the best of your knowledge.
09
Submit the intake form as instructed by the program. This may involve mailing it to a specific address or delivering it in person to the program office.
10
Keep a copy of the completed form for your records.
Who needs wandering person program intake?
Individuals who should consider filling out a wandering person program intake form include:
01
Caregivers or family members of individuals who have a tendency to wander or become lost, especially if they have cognitive impairments such as dementia, Alzheimer's disease, or autism.
02
Individuals responsible for the safety and well-being of someone who has a history of wandering or elopement, particularly if they have difficulties communicating or may be at risk of harm if unsupervised.
03
Anyone who wishes to proactively provide information to a wandering person program in order to ensure a timely and effective response in the event of a wandering incident.
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What is wandering person program intake?
The wandering person program intake is a form used to gather information on individuals who may wander off and go missing.
Who is required to file wandering person program intake?
Caregivers or guardians of individuals who may have a tendency to wander are required to file the wandering person program intake.
How to fill out wandering person program intake?
The wandering person program intake can be filled out by providing information on the individual's personal details, medical history, wandering habits, and emergency contacts.
What is the purpose of wandering person program intake?
The purpose of the wandering person program intake is to ensure that proper steps can be taken to locate and assist individuals who may wander off and go missing.
What information must be reported on wandering person program intake?
Information such as the individual's name, age, medical conditions, wandering patterns, and emergency contacts must be reported on the wandering person program intake.
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