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#E02820ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD CHANGE OF OWNERSHIP APPLICATION FOR EXEMPTION 09/2019 EditionILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD APPLICATION FOR CHANGE
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Start by gathering all the necessary information about the person who requires personal support services.
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Open the draft-personal support services form and carefully read through the instructions.
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Fill in the personal details of the person who needs support, such as their name, address, contact information, and date of birth.
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Provide information about the type of support services needed, including any specific requirements or preferences.
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If applicable, include details about any existing medical conditions or disabilities that may affect the support services required.
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Fill out the section regarding the desired goals and outcomes of the support services. This may involve discussing with the person who needs support or their family/caregiver.
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Include any additional information or notes that may be important for the support services provider to know.
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Elderly individuals who require help with household tasks, medication management, or navigating healthcare services.
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Children or adults with developmental disabilities who need support in education, vocational training, or independent living skills.
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Patients recovering from surgeries, injuries, or medical procedures who require temporary assistance.
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Individuals seeking assistance to maintain their quality of life and maximize independence.
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Draft-personal support services involve drafting a plan for providing support to individuals with personal care needs.
Healthcare professionals, caregivers, or social workers may be required to file draft-personal support services.
To fill out draft-personal support services, one must document the individual's specific care needs, support required, and proposed plan for assistance.
The purpose of draft-personal support services is to ensure that individuals with personal care needs receive appropriate support and assistance.
Information such as the individual's medical history, current needs, support preferences, and emergency contact information must be reported on draft-personal support services.
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