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LONGER CARE PLANNING INTAKE SHEET CLIENT INFORMATION: Clients First Name: Middle: Last: Please State Client's: Age or Deceased: DOB: Social Security Number: Phone #: Home () Cell () Work () Address:
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What is long-term care planning intake?
Long-term care planning intake is the process of assessing an individual's needs for long-term care services and creating a plan to address those needs.
Who is required to file long-term care planning intake?
Individuals who are in need of long-term care services or their legal representatives are required to file long-term care planning intake.
How to fill out long-term care planning intake?
Long-term care planning intake can be filled out by providing information about the individual's medical history, current health status, care needs, and preferences for care services.
What is the purpose of long-term care planning intake?
The purpose of long-term care planning intake is to assess the individual's needs, create a personalized care plan, and connect the individual with appropriate care services.
What information must be reported on long-term care planning intake?
Information such as medical history, current health status, care needs, preferences for care services, financial resources, and legal documentation must be reported on long-term care planning intake.
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