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SENIOR EXTENDED CARE ADMISSION 10016 Strickland Rd., Raleigh, NC 27615 (919) 8470389 Fax (919) 8474632 Boarding Dates: From To YOU WILL BE CHARGED FOR THE DAY OF DROP-OFF AND AFTER 2:00 PM ON THE
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How to fill out senior extended care program:

01
Gather necessary documents: Before starting the application process, make sure you have all the required documents ready. This may include personal identification, proof of income, medical records, and any other relevant documentation.
02
Research eligibility criteria: Familiarize yourself with the eligibility criteria for the senior extended care program. Different programs may have different requirements based on factors such as age, income level, and medical conditions. Make sure you meet the necessary qualifications before proceeding with the application.
03
Obtain an application form: Contact the relevant authority or agency responsible for administering the senior extended care program and request an application form. This can usually be done online, through mail, or in person. Ensure you have the correct form for the specific program you are applying to.
04
Fill out the application accurately: Take your time to accurately fill out the application form. Provide all requested information and be thorough in your responses. If you are unsure about any section, seek clarification or assistance from the program administrator.
05
Attach required documentation: As mentioned earlier, make sure to attach all the required supporting documentation to your application. This may include copies of identification, income statements, medical reports, and any additional documentation specified by the program.
06
Review and proofread: Before submitting your application, carefully review all the information provided. Double-check for any errors or omissions, as these can potentially delay the processing of your application. Proofread the entire form and correct any spelling mistakes or inaccuracies.
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Submit the application: Once you are confident that your application is complete and accurate, submit it according to the instructions provided by the program. This may involve mailing the form, submitting it online, or hand-delivering it to the designated office.

Who needs senior extended care program?

01
Elderly individuals with medical conditions: Senior extended care programs are specifically designed to provide assistance and support to elderly individuals who have medical conditions or require additional care and services. These programs aim to improve the quality of life for seniors who may struggle with daily living activities or need healthcare management.
02
Individuals with limited financial resources: Senior extended care programs often prioritize individuals with limited financial resources. These programs aim to ensure that low-income seniors have access to the necessary care and support they need, regardless of their financial situation.
03
Individuals requiring assistance with daily activities: Aging can sometimes bring physical or cognitive limitations that make it challenging for seniors to perform daily activities independently. The senior extended care program caters to individuals who need help with tasks such as bathing, dressing, medication management, meal preparation, transportation, and other essential activities.
Overall, the senior extended care program is intended to support elderly individuals who require additional care, have limited financial resources, and need assistance with various aspects of daily life.
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Senior extended care program is a program that provides additional care and support services to elderly individuals who require assistance with daily living activities.
Senior extended care program is typically filed by healthcare facilities or providers who offer services to elderly individuals in need of extended care.
Senior extended care program can be filled out by providing information about the patient's medical history, current health status, care needs, and any existing treatment plans.
The purpose of senior extended care program is to ensure that elderly individuals receive the necessary care and support to maintain their health and well-being.
Information that must be reported on senior extended care program includes the patient's name, date of birth, medical conditions, medications, and any allergies or medical alerts.
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