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ACCESSIBLE HOME CARE, LLC 131 N. Santa Fe Suite 110, Salina, Kansas 67401 Agency Phone: (785) 4938111 Agency Fax: (785) 4938002REFERRAL / INTAKE FORM Name: Address: City/State/Zip: Phone: Referral
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Obtain the necessary forms and applications from the accessible home care llc website or office.
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Fill out the personal information section, including your name, address, and contact details.
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Provide information about your medical condition or disability that requires home care services.
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Include the details of any specific care requirements or preferences you may have.
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Attach any supporting documents, such as medical records or doctor's recommendations.
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Sign and date the completed application form.
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Submit the filled-out application form along with any required fees or payments.
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Who needs accessible home care llc?

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Individuals who have medical conditions or disabilities that require assistance with daily activities.
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Elderly individuals who need help with personal care and household tasks.
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Individuals with chronic illnesses or disabilities who prefer to receive care in the comfort of their own homes.
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Family members who need respite care to relieve their caregiving duties temporarily.
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Accessible Home Care LLC is a home care agency that provides services to individuals who need assistance with daily activities in the comfort of their own homes.
The owners of the accessible home care LLC, or the designated representatives, are required to file the necessary paperwork with the state and comply with local regulations.
To fill out accessible home care LLC, the owners or designated representatives need to provide information about the business, such as its legal name, address, ownership structure, and services offered. They may also need to submit documentation proving compliance with state regulations.
The purpose of accessible home care LLC is to provide quality care and assistance to individuals who require support with activities of daily living, enabling them to remain in their homes and maintain their independence.
Information that must be reported on accessible home care LLC includes details about the business structure, ownership, services provided, regulatory compliance, and any other relevant information required by the state or local government.
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