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Revised: 201806Commonwealth Healthcare Corporation Care and Resources Assistance Please complete the following application to determine eligibility for the Sliding Fee Discount Program. If you do
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Gather all necessary information such as personal details, financial information, medical history, and any supporting documents.
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Determine eligibility criteria for the care and resources assistance program.
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Who needs care and resources assistance?

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Individuals who are facing financial difficulties and are unable to afford necessary medical care or resources.
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People who are living with chronic illnesses or disabilities and require assistance with accessing specialized care and resources.
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Families caring for elderly loved ones who need additional support and resources for their daily living needs.
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Care and resources assistance is a program that provides support and resources to individuals in need of assistance.
Individuals who meet the eligibility criteria for the program are required to file care and resources assistance.
Care and resources assistance can be filled out by completing the application form provided by the program and submitting it to the designated agency.
The purpose of care and resources assistance is to provide support and resources to individuals in need, such as financial assistance, medical care, and social services.
Information such as income, assets, household size, expenses, and any other relevant information must be reported on care and resources assistance.
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