Get the free ELDERHELP PROGRAM (EHP) REFERRAL 2012-2013 template

VENTURA COUNTY AREA AGENCY ON AGING ELDERLY PROGRAM (HP) REFERRAL FORM 20122013 Please email this form to Elder. Help Ventura.org or fax to 8054777312 (emails preferred)REQUESTING AGENCY INFO Requesting

How to fill out elderhelp program ehp referral

How to fill out elderhelp program ehp referral

1. To fill out the Elderhelp Program (EHP) referral, follow these steps:
2. Start by gathering the necessary information about the individual who needs the EHP referral. This may include their full name, contact information, date of birth, and current living situation.
3. Contact the Elderhelp Program directly to request the referral form. They will provide you with the necessary paperwork either in person or via email.
4. Once you have the referral form, carefully read through the instructions and fill out each section accurately. Be sure to provide detailed information about the individual's medical history, support needs, and any other relevant information.
5. If there are any additional documents or records required to support the referral, gather them and attach them to the form. This may include medical records, assessment reports, or other relevant documents.
6. After completing the referral form and gathering any additional documents, review everything for accuracy and completeness. Make sure all required fields are filled out and double-check the provided information.
7. Submit the completed referral form along with the supporting documents to the Elderhelp Program. Follow their instructions for submission, whether it's mailing the form, faxing it, or delivering it in person.
8. It is advisable to keep a copy of the completed referral form and documents for your records.
9. Wait for the Elderhelp Program to review the referral and contact you for further information or to schedule an assessment. They will determine if the individual qualifies for the program based on their eligibility criteria and available resources.
10. If the referral is approved, the Elderhelp Program will provide the necessary support and services to the individual as outlined in their program guidelines.
11. In case the referral is not approved, you may inquire about the reasons and explore alternate options or services that may be available for the individual's needs.

Who needs elderhelp program ehp referral?

1. Anyone who is an older adult (typically aged 60 and above) and requires assistance with activities of daily living, socialization, and support may need the Elderhelp Program (EHP) referral.
2. This program specifically caters to older adults who are living alone, have limited social support, and may be facing challenges in maintaining their independence or accessing essential services.
3. Individuals who may benefit from an EHP referral include older adults with mobility issues, chronic health conditions, cognitive impairment, transportation barriers, or limited financial resources to afford in-home care or support services.
4. The EHP referral aims to connect eligible individuals with appropriate resources, care providers, and support networks to enhance their quality of life and promote aging in place.

What is ELDERHELP PROGRAM (EHP) REFERRAL 2012-2013 Form?

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What is elderhelp program ehp referral?

Elderhelp program ehp referral is a form used to refer elderly individuals to the Elderhelp program for assistance and support.

Who is required to file elderhelp program ehp referral?

Healthcare professionals, social workers, or family members can file elderhelp program ehp referral on behalf of an elderly individual in need.

How to fill out elderhelp program ehp referral?

The elderhelp program ehp referral form can be filled out by providing relevant information about the elderly individual in need of assistance, their contact information, and the reason for the referral.

What is the purpose of elderhelp program ehp referral?

The purpose of elderhelp program ehp referral is to connect elderly individuals with the resources and support services offered by the Elderhelp program.

What information must be reported on elderhelp program ehp referral?

The elderhelp program ehp referral should include the elderly individual's name, age, contact information, reason for referral, and any relevant medical or social information.