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Participant Name: Assessment/Scale:1 needs instruction DOB: 2 needs review3 comprehends key pointsReferring Provider: 4 demonstrates understanding/competency NC not covered/A not applicableDiabetes
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1 needs instruction is a form that outlines the specific needs a person has.
Any individual who has specific needs or requirements that need to be addressed.
You can fill out the form by providing detailed information about your specific needs and requirements.
The purpose of 1 needs instruction is to ensure that individuals receive the necessary support and accommodations.
Information such as medical conditions, disabilities, dietary restrictions, etc. must be reported on 1 needs instruction.
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