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PSA 28 Congregate Meal Site Intake Form Title AIIC Elderly Nutrition Programmers marked with (*) are required (DTS) is Declined to State Intake Date: ___Beginning Date: ___Site:___ (office use only)
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How to fill out congregate nutrition - program

01
Contact the local congregate nutrition program provider.
02
Fill out the required enrollment forms.
03
Provide necessary information such as your name, age, address, and medical history.
04
Attend a screening appointment if necessary.
05
Start attending the congregate nutrition program activities and enjoy the benefits.

Who needs congregate nutrition - program?

01
The congregate nutrition program is designed for older adults aged 60 and above who may be at risk of malnutrition, social isolation, or other health issues.
02
Individuals who may benefit from a hot meal, social interaction, health education, and other supportive services are also encouraged to participate in the program.

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Congregate nutrition program provides meals to older adults in a group setting, typically at a community center or senior center.
Organizations or agencies that operate congregate nutrition programs are required to file.
Fill out the required forms provided by the relevant governing authority and submit them with the necessary documentation.
The purpose of the program is to provide older adults with nutritious meals and social interaction.
Information such as number of meals served, demographic data of participants, and nutritional content of meals must be reported.
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