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Adult Day Care
501 Kekuluohi Street
Honolulu, Hawaii 96825
(808) 3954065
Dear Family and Friends,
Thank you for your recent inquiry about our Adult Day Care Program, we hope you find the information
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How to fill out adult day care

How to fill out adult day care
01
To fill out adult day care, follow these steps:
02
Obtain the necessary forms: Contact the adult day care center or agency and request the forms required for enrollment.
03
Provide personal information: Fill out the forms with your personal information such as name, address, date of birth, and contact details.
04
Medical history: Provide details about your medical history, including any chronic conditions, allergies, medications, and previous surgeries.
05
Emergency contacts: Provide the names and contact information of individuals to be contacted in case of emergencies.
06
Insurance information: If applicable, provide your health insurance information, including the policy number and coverage details.
07
Care preferences: Indicate your preferences for activities, meals, and any specific requirements or restrictions you may have.
08
Review and sign: Carefully review the completed forms, ensuring all information is accurate and complete. Sign the consent forms as required.
09
Submit the forms: Submit the filled-out forms to the adult day care center or agency either in person, by mail, or through their online submission portal.
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Note: Some adult day care facilities may require additional documents or assessments, so make sure to follow their specific instructions.
Who needs adult day care?
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Adult day care is beneficial for the following individuals:
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Seniors or older adults who require supervision and assistance during the day.
03
Individuals with physical or cognitive disabilities who may need specialized care and support.
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Caregivers who need respite or relief from providing 24/7 care for their loved ones.
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Individuals recovering from surgery or illness who require assistance with daily activities and rehabilitation.
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Those seeking social interaction and participation in recreational activities.
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Individuals with Alzheimer's disease or other forms of dementia who can benefit from specialized memory care programs.
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Older adults with chronic medical conditions who may need medication management and monitoring.
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Adult day care centers cater to the needs of these individuals, providing a safe and supportive environment, medical supervision, socialization opportunities, and various therapeutic and recreational services.
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What is adult day care?
Adult day care is a facility that provides care and supervision for elderly adults or individuals with disabilities during the day, allowing their primary caregivers to work or take a break.
Who is required to file adult day care?
Adult day care providers are required to file for licensing and certification to operate legally.
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To fill out adult day care forms, providers must provide information about their facility, staff qualifications, programs offered, and safety measures in place.
What is the purpose of adult day care?
The purpose of adult day care is to support caregivers by providing a safe and stimulating environment for their loved ones during the day.
What information must be reported on adult day care?
Information such as client demographics, care plans, daily activities, and incidents must be reported on adult day care.
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