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Choices for Care Flexible Choices Allowance CFC 836 7/2019Participant Information Name: LastFirstMIMailing Address: Street/RFD/Toxicity/TownStateZipPhysical Address: Streetcar/TownStateZipPhone: Email
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Choices for Care is a program that helps elderly individuals and individuals with disabilities receive long-term care services and support.
Individuals who are in need of long-term care services and support are required to file choices for care.
Choices for Care can be filled out by contacting your local Area Agency on Aging or by visiting the Choices for Care website.
The purpose of choices for care is to assess the needs of individuals requiring long-term care services and support, and to provide a plan of care tailored to their specific needs.
Information such as medical history, daily living activities, and support needs must be reported on choices for care.
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