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Case #___ Department: ___INTAKE CHECKLIST & SIGNATURE PAGE HOMEMAKER/PARENT AID & HOMELAND CASEWORK SERVICES 1. FORMS TO BE COMPLETED AT INTAKE Participant InitialsWitness Initials SCAN Vision, Mission
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To fill out the homemaker and home health form, follow these steps: 1. Start by gathering all the necessary information, including personal information of the homemaker or home health provider.
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Homemaker and home health services involve helping individuals with daily tasks such as cooking, cleaning, grooming, and medication management.
Individuals or agencies providing homemaker and home health services are required to file.
The form for homemaker and home health services typically includes information about the recipient of services, the type of services provided, and the duration of services.
The purpose of homemaker and home health services is to help individuals maintain their independence and quality of life while receiving assistance with everyday tasks.
Information such as the nature of services provided, the qualifications of the provider, and any changes in the recipient's condition must be reported on homemaker and home health forms.
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