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Medical Waivers & Insurance Formosa undersigned parent and natural guardian or legal guardian does hereby represent that he/she is, in fact, acting in such capacity and agrees on behalf of the participant
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Obtain the necessary forms for home and community based services.
02
Fill out personal information accurately, including name, contact information, and demographics.
03
Provide details about current medical conditions and any disabilities or limitations.
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Include information about any medications being taken and medical history.
05
Outline the specific services needed and any preferences for care providers.
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Sign and submit the completed forms as instructed by the service provider.

Who needs home and community based?

01
Individuals with medical conditions or disabilities requiring assistance with daily living activities.
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Individuals with mental health conditions or cognitive impairments that affect their ability to live independently.
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Those who require rehabilitation services or therapy in a home setting.
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People who would benefit from community-based programs for socialization and support.
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Home and community based services are designed to help individuals with disabilities or chronic conditions live as independently as possible in their own homes or communities, rather than in institutional settings.
Individuals or their caregivers who are receiving or seeking home and community based services may be required to file certain documents or reports.
To fill out home and community based forms, individuals or their caregivers must provide information about the individual's needs, support services required, and current living situation.
The purpose of home and community based services is to promote independence, enhance quality of life, and prevent unnecessary institutionalization for individuals with disabilities or chronic conditions.
Information such as the individual's medical history, support needs, living arrangements, and personal preferences may need to be reported on home and community based forms.
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