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Page 1 of 4 Oldies But Goodies Cocker Rescue, Inc. P.O. Box 361 Newington, VA 22122-0361 www.cockerspanielrescue.com 703-533-2373 (voice mail) HOME CHECK FORM To the home evaluator: This form is for
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What is homecheck form - oldies?
The homecheck form - oldies is a form used to assess the safety and well-being of elderly individuals living at home.
Who is required to file homecheck form - oldies?
Family members, caregivers, or social workers who are responsible for the care of elderly individuals.
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The form can be filled out online or in paper form, and it requires information about the living conditions, medical needs, and support systems of the elderly individual.
What is the purpose of homecheck form - oldies?
The purpose of the form is to ensure that elderly individuals are living in a safe and supportive environment, and to identify any areas where additional assistance may be needed.
What information must be reported on homecheck form - oldies?
Information about the home environment, medical conditions, medications, support network, and daily living activities of the elderly individual.
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