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NSM SPECIALIZED GERIATRIC SERVICES COVID-19 Alternate Referral Form KEY INFORMATION FAX completed referrals to 7057924614Questions? Call SGS Intake Service 7054172192 ext. 109Client / Patient Information
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01
To fill out NSM specialized geriatric services, follow these steps:
02
Access the NSM specialized geriatric services application form.
03
Start by providing your personal information such as your name, address, contact details, and date of birth.
04
Next, provide information about your medical history, including any pre-existing conditions, medications, allergies, and previous treatments.
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Fill out the section regarding your current health concerns or issues that require specialized geriatric services.
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In the application form, explain the specific services you are seeking from NSM specialized geriatric services.
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If applicable, provide details about your primary caregiver and their contact information.
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Ensure that you have completed all the required fields in the application form.
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Review the information provided to ensure accuracy and completeness.
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Submit the filled-out NSM specialized geriatric services application form either online or through the designated submission method.
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Wait for a response from NSM specialized geriatric services regarding the status of your application.

Who needs nsm specialized geriatric services?

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NSM specialized geriatric services are offered to individuals who meet the following criteria:
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- Elderly individuals aged 65 and above
03
- Individuals with multiple chronic health conditions
04
- Individuals requiring specialized care for age-related issues such as dementia, frailty, or mobility limitations
05
- Those in need of comprehensive geriatric assessments and personalized care plans
06
- Individuals requiring assistance with activities of daily living
07
- Caregivers and family members of elderly individuals seeking guidance and support in providing care
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NSM specialized geriatric services are services tailored to meet the specific needs of older adults with complex medical conditions and/or cognitive impairments.
Healthcare providers, facilities, and organizations that offer specialized geriatric services are required to file NSM specialized geriatric services.
NSM specialized geriatric services can be filled out electronically through the designated online platform or by submitting paper forms with the required information.
The purpose of NSM specialized geriatric services is to ensure that older adults receive comprehensive and coordinated care that addresses their unique health and social needs.
Information such as patient demographics, medical history, care plan, medications, and treatment outcomes must be reported on NSM specialized geriatric services.
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