
Get the free Extended Care Application for School Year 2017-2018
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00 for 1 child 15. 00 for 2 children 20. 00 for 3 or more children Rates for Half Day Dismissal Care Afternoon Only Parent Signature Date 20501 Goshen Road Gaithersburg MD 20879 Phone 301 990-2088 Fax 301 947-0574 www. Mother of God School Extended Care Application for School Year 2017-2018 Regular Program Hours 7 00 8 30 am 3 30 6 00 pm Half days 12 30 6 00 pm Extended Program Hours 6 30 7 00 am additional fee reservation required I would like to enroll the child/children of the...
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How to fill out extended care application for

How to fill out extended care application for
01
Start by gathering all the necessary documents and information that will be required to complete the extended care application.
02
Carefully read the application form and instructions provided by the extended care provider to ensure you understand the requirements.
03
Fill out the personal details section of the application form, providing accurate and up-to-date information about the applicant.
04
Provide information about the applicant's medical history and any specific care needs that should be taken into consideration.
05
Indicate the desired duration of the extended care and any specific services or accommodations required.
06
Attach any necessary supporting documents, such as medical reports or referral letters, to the application form.
07
Review the completed application form for any errors or missing information, ensuring all sections have been adequately filled out.
08
Submit the extended care application form along with any required fees or supporting documents as specified by the care provider.
09
Keep a copy of the completed application form and any receipts or confirmation for future reference.
10
Follow up with the extended care provider to ensure that the application has been received and to inquire about the next steps in the process.
Who needs extended care application for?
01
Extended care applications are typically required for individuals who require additional medical or personal assistance beyond what is provided in regular care settings.
02
This could include individuals with chronic illnesses, disabilities, or recovering from surgeries or medical procedures.
03
Extended care applications may also be necessary for individuals who require specialized care due to their age, such as the elderly or infants.
04
Family members or caregivers seeking extended care on behalf of someone who is unable to complete the application themselves may also need to fill out an extended care application.
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What is extended care application for?
Extended care application is for individuals who need long-term care services and assistance with activities of daily living.
Who is required to file extended care application for?
Individuals who require long-term care services and assistance are required to file extended care application.
How to fill out extended care application for?
Extended care application can be filled out by providing personal information, medical history, and details about the type of care needed.
What is the purpose of extended care application for?
The purpose of extended care application is to assess the individual's eligibility for long-term care services and to determine the appropriate level of care.
What information must be reported on extended care application for?
Information such as medical history, current health condition, and details about the type of care needed must be reported on extended care application.
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