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PERSONAL CARE AGENCY SELECTION FORM MONROE COUNTY o Braxton County Senior Citizens Center, Inc. Sutton Phone: (304) 7654090 Fax: (304) 7654095 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 the services offered by each agency and their pricing.
03
Schedule a consultation with a few agencies to discuss your needs and preferences.
04
Ask for references from current or past clients to get a better understanding of the agency's quality of care.
05
Review and fill out any necessary paperwork provided by the agency, such as intake forms or care plans.
06
Once you have selected an agency, make sure to communicate openly and regularly with them to ensure your care needs are being met.

Who needs personal care agency selection?

01
Individuals who require assistance with daily activities such as bathing, dressing, and meal preparation.
02
People who are recovering from illness or surgery and need extra support at home.
03
Seniors who may need help with mobility or medication management.
04
Family members who are unable to provide full-time care for their loved ones and need outside assistance.
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Personal care agency selection is the process of selecting a specific agency to provide personal care services to an individual in need.
Individuals or their legal guardians are required to file the personal care agency selection form.
To fill out the personal care agency selection form, the individual or legal guardian must provide personal information, contact details, and specific preferences for the agency.
The purpose of personal care agency selection is to ensure that individuals receive quality and personalized care services from a reputable agency.
Information such as the individual's name, contact information, medical history, care needs, and specific preferences for personal care services must be reported on the selection form.
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