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CONFIDENTIAL Intake date: / / Client Q #: AIS CLIENT INTAKE SENIOR NUTRITION PROGRAM 2010/2011 * represents information required by the CDA *FIRST NAME: *LAST NAME: MI: STREET ADDRESS: CITY: ZIP:
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01
Step 1: Start by gathering all the necessary information from the senior client, such as their personal details, medical history, and any specific concerns or needs they may have.
02
Step 2: Create a client intake form that includes sections for all the relevant information needed to assess the senior client's needs and preferences.
03
Step 3: Clearly label each section of the intake form and provide clear instructions for the client on how to fill it out.
04
Step 4: Schedule a meeting with the senior client or their authorized representative to assist them in filling out the intake form if needed.
05
Step 5: Review and double-check the completed intake form for accuracy and completeness before using it for further assessments or providing services to the senior client.

Who needs ais client intake- senior?

01
Seniors who are seeking assistance or services from an AIS (Assisted Independent Living) provider.
02
Seniors who require a more personalized and tailored support plan to meet their specific needs and preferences.
03
Seniors who want to ensure that their care providers have all the necessary information to provide the best quality of care.

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