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Personal Care Services Assessment Infant through 24 monohydrate assessment completed: Initial assessmentReassessmentChilds name (first, last): Case/person number: Date of birth: Caseworker name (first,
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Personal care services assessment is a process of evaluating the needs and eligibility of individuals for receiving personal care services such as assistance with daily activities and tasks.
Individuals who are in need of personal care services or their caregivers are required to file personal care services assessment.
Personal care services assessment can be filled out by providing detailed information about the individual's medical history, daily living needs, and any other relevant information.
The purpose of personal care services assessment is to determine the level of assistance needed by individuals to maintain their independence and quality of life.
Information such as medical conditions, medication requirements, mobility limitations, and daily living activities that require assistance must be reported on personal care services assessment.
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