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IHSS Service Sheet AOI Home care 1550 Dover Street Lakewood, Co 80215 pH (303) 331 0818/ Fax (844) 8819402 Call (720) 2756780Clients Name (Print) Year Providers Name Your initials below verify the
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IHSS service sheet is a form used to document the services provided by a caregiver to an IHSS recipient.
Both the IHSS recipient and their caregiver are required to fill out and submit the IHSS service sheet.
The IHSS service sheet should be filled out accurately and completely, documenting the tasks performed and the time spent on each task.
The purpose of the IHSS service sheet is to track the services provided to IHSS recipients and ensure that they are receiving the care they need.
The IHSS service sheet must include details such as the date, time, tasks performed, and the signature of both the IHSS recipient and the caregiver.
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