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DepartmentofPublicHealth CoastalHealthDistrictFunctionalandMedicalNeedsEvacuationRegistrationForm Note:PleasePRINTtheentireformandmailittoyourcountyhealthdepartment. Registrationmustbeupdatedand submitted
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McIntosh County Functional AMP is needed by individuals, organizations, or authorities who require an assessment or evaluation of the functional capabilities of individuals in McIntosh County. This may include healthcare providers, social service agencies, disability support organizations, or government authorities responsible for providing services or support to individuals with functional impairments.
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The McIntosh County Functional Assessment is used to determine the functional capabilities of an individual in order to determine appropriate services and support.
Individuals receiving services and support from McIntosh County are required to file the Functional Assessment.
The Functional Assessment can be filled out by the individual receiving services or by their caregiver or legal guardian.
The purpose of the Functional Assessment is to assess the functional capabilities of individuals in order to provide appropriate services and support.
The Functional Assessment requires information on the individual's daily activities, abilities, and support needs.
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