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Living ChoiceMedically FragileMembers Name: PCA/ASR Name: Provider Agency: Month & Year: Home Health Qualified Providers Unlicensed Checklist Provider submitted a copy of current license? Yes ()no
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Living choice is a form that allows individuals to choose how and with whom they want to live, including choices related to housing, roommates, and living arrangements.
Any individual who wants to make decisions about their living situation is required to file living choice.
Living choice can be filled out by providing personal information, preferences for living arrangements, housing options, and any other relevant details.
The purpose of living choice is to empower individuals to make informed decisions about where and with whom they want to live, ensuring their preferences and needs are met.
Information such as personal details, desired living arrangements, housing preferences, and any special requirements must be reported on living choice form.
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