Get the free Extended Care Application Form 2016-2017.docx - clifdale spartanburg3
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Climate Elementary School Extended Care August 2016 Dear Parents, We are offering the after school program, Extended Care, again this year. If you are interested in enrolling your child in our program,
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01
Read and understand the instructions on the application form.
02
Gather all the required documents and information before starting the application.
03
Fill out your personal details accurately, such as your full name, date of birth, and contact information.
04
Provide information about your current medical condition, including any diagnoses, treatments, and medications.
05
Indicate the type and level of care you are seeking in the application form.
06
Include any relevant medical records or supporting documents that may be required.
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Double-check all the information you have provided and make sure it is complete and accurate.
08
Sign and date the application form before submitting it.
09
Submit the filled-out application form to the designated authority or organization.
Who needs extended care application form?
01
Individuals who require ongoing medical care or assistance
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Patients who are being discharged from a hospital and need additional care
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Elderly individuals who need assistance with daily activities and personal care
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People with chronic illnesses or disabilities who require extended care services
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Individuals recovering from surgery or medical procedures
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Patients with terminal illnesses who need palliative or end-of-life care
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