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CONFIDENTIAL I L AG E135Application for Extra Care Living To help us process your application, we would be grateful if you could complete this questionnaire. The information provided will form part

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Who needs extra care living?

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Extra care living is designed for individuals who require assistance with activities of daily living (ADLs) but do not need the level of care provided in nursing homes.

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What is extra care living?

Extra care living refers to a type of residential setting that provides support and care services for individuals who need assistance with daily activities but wish to maintain a level of independence.

Who is required to file extra care living?

Individuals living in extra care facilities who receive benefits or funding may be required to file for extra care living to report their income and care needs.

How to fill out extra care living?

To fill out extra care living forms, individuals should provide personal information, details about their care needs, financial information, and any relevant medical information as required by the administering organization.

What is the purpose of extra care living?

The purpose of extra care living is to offer a supportive environment where individuals can receive necessary care and assistance while still enjoying independent living.

What information must be reported on extra care living?

Individuals must report personal identification details, income sources, care requirements, and any changes in health status or living conditions.

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