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FIEFDOM SOCIAL ADULT DAY PROGRAM APPLICATION 2300 Catherine Street, Cortland Manor, NY 10567 Phone: (914) 7392244 Fax: (914) 3019082 Email: adult daycare fieldhome.com APPLICANT INFORMATION Name:
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How to fill out fieldhome social adult day?

01
Visit the official website of Fieldhome social adult day program.
02
Look for the "Enrollment" or "Admissions" section on their website.
03
Download or request an enrollment form.
04
Fill out all the required personal information accurately, such as your full name, date of birth, address, and contact information.
05
Provide details about your medical history and any specific care needs you may have.
06
Indicate your preferred schedule and days of attendance.
07
If applicable, indicate any allergies or dietary restrictions.
08
Provide emergency contact information.
09
If necessary, provide information about your primary care physician and any other medical professionals involved in your care.
10
Read and sign the consent forms and agreements included in the enrollment packet.
11
Submit the completed enrollment form to Fieldhome social adult day program via mail or in person.

Who needs fieldhome social adult day?

01
Older adults who require supervision and assistance during the day.
02
Individuals with physical or cognitive impairments that limit their ability to be alone at home.
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Seniors who benefit from social interaction and engaging activities.
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Caregivers who need respite and support in caring for their loved ones.
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Older adults who may be at risk of isolation or loneliness.
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Individuals who may benefit from therapeutic services offered by Fieldhome social adult day program.
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Seniors who want to maintain their independence but require assistance with daily activities.
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Older adults who may be recovering from an illness or injury and need assistance during their rehabilitation process.
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Individuals who may benefit from a structured environment and a routine schedule.
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Fieldhome Social Adult Day is a program that provides social and recreational activities for adults in a group setting.
Fieldhome Social Adult Day is required to be filed by the organization or facility running the program.
To fill out Fieldhome Social Adult Day, the organization must report on the activities provided, number of participants, and any other relevant information.
The purpose of Fieldhome Social Adult Day is to provide socialization, recreation, and support services for adults who may require assistance or supervision during the day.
The information to be reported on Fieldhome Social Adult Day includes details of activities, number of participants, any incidents or issues that occurred during the day, and any changes to the program.
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