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PERSONAL CARE AGENCY SELECTION FORM MERCER COUNTY o CASE Commission on Aging (Mercer County) Princeton Phone: (304) 4257111 Fax: (304) 4878801 o Coordinating Council for Independent Living/COIL (West

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How to fill out personal care agency selection

01

Research different personal care agencies in your area.

02

Consider their reputation and reviews from previous clients.

03

Schedule consultations with the agencies to discuss your needs and expectations.

04

Ask about the services they offer, their pricing, and their caregivers' qualifications.

05

Make a decision based on your research and choose the agency that best fits your needs.

Who needs personal care agency selection?

01

Individuals who require assistance with activities of daily living due to aging, illness, or disability.

02

Families who are unable to provide full-time care for their loved ones.

03

Patients who have recently been discharged from a hospital and need additional support at home.

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What is personal care agency selection?

Personal care agency selection is the process of choosing a home care agency to provide personal care services to an individual in need.

Who is required to file personal care agency selection?

The person or their legal guardian who is in need of personal care services is required to file the personal care agency selection form.

How to fill out personal care agency selection?

To fill out the personal care agency selection form, the individual or their legal guardian must provide details about the preferred home care agency, contact information, and specific care needs.

What is the purpose of personal care agency selection?

The purpose of personal care agency selection is to ensure that the individual in need receives the appropriate and necessary care from a reputable home care agency.

What information must be reported on personal care agency selection?

The personal care agency selection form must include details about the preferred home care agency, contact information, and specific care needs of the individual.

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