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Vermont Department of Disabilities, Aging and Independent Living CFC MOD 907 Rev. 04/14Moderate Needs Complete Package Checklist Client Name: Case Manager Name: Phone #: New Application Items to be
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Step 1: Begin by gathering all the necessary documents and information required to fill out the CFC 907 form.
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Step 2: Read through the form carefully to understand the sections and questions being asked.
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Step 3: Start filling out the form by providing your personal information such as name, address, and contact details.
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Step 4: Move on to the section about your moderate needs, answering the questions truthfully and providing any supporting documentation if required.
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Who needs cfc 907 moderate needs?

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Individuals or families who have moderate needs for assistance and support may need to fill out the CFC 907 form. This could include individuals requiring medical or therapeutic services, assistance with daily activities, or support for moderate disabilities. The form helps assess eligibility and determine the level of assistance that can be provided to meet the moderate needs of the individual or family.
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CFC 907 moderate needs is a form used to report the moderate level of care needed for elderly or disabled individuals in need of long-term services and supports.
The caregiver or legal guardian of the elderly or disabled individual is required to file CFC 907 moderate needs.
To fill out CFC 907 moderate needs, caregivers must provide detailed information about the individual's medical conditions, daily living needs, and level of assistance required.
The purpose of CFC 907 moderate needs is to assess the level of care needed for elderly or disabled individuals and determine their eligibility for long-term services and supports.
Information such as medical history, medication list, daily activities the individual needs assistance with, and any special care requirements must be reported on CFC 907 moderate needs.
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