Get the free PERSONAL EMERGENCY RESPONSE SERVICES - Local Government

ORANGE COUNTY, NEW YORK Page 1 Department of General Services PO Box 218, 15 Matthews Street Suite 101 Goshen, New York 10924 RFP TITLE: PERSONAL EMERGENCY RESPONSE SERVICES RFPOFA0113 PERSONAL EMERGENCY

How to fill out personal emergency response services

How to fill out personal emergency response services:

1. Start by gathering all necessary personal information, including your full name, address, phone number, date of birth, and any relevant medical conditions or allergies.
2. Contact your chosen personal emergency response service provider and inquire about their application process. They will likely provide you with an application form to fill out.
3. Read the application form carefully and provide accurate and honest information. This may include details about your medical history, current medications, emergency contacts, and any specific needs or preferences you have regarding your emergency response services.
4. Complete all sections of the application form, ensuring that you do not leave any sections blank unless they are marked as optional.
5. Double-check your responses and make sure they are legible and easy to understand. If you have any questions or concerns, don't hesitate to reach out to the personal emergency response service provider for clarification.
6. Review and sign any consent forms or agreements that may be required. These could include permission for the personal emergency response service provider to contact your emergency contacts or access your medical records in case of an emergency.
7. Submit your completed application form and any supporting documents as instructed by the personal emergency response service provider. This may involve mailing the documents or submitting them online through a secure portal.
8. Wait for confirmation from the personal emergency response service provider that your application has been received and processed. They will likely provide you with further instructions on next steps, such as equipment installation or setup.
9. Keep a copy of your completed application form and any related documents for your records.

Who needs personal emergency response services?

1. Elderly individuals living alone who may be at risk of falls, health emergencies, or other medical issues.
2. Individuals with chronic health conditions or disabilities who may require immediate medical assistance in case of emergencies.
3. People recovering from surgery or injuries who may need extra support and security during their recovery process.
4. Individuals with a history of medical emergencies or those who have been advised by their healthcare providers to have access to a personal emergency response service.
5. Anyone who values added peace of mind and wants a reliable way to access immediate help in case of emergencies.

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