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100 Mt. Allen Drive Mechanicsburg, PA 17055 Phone: 717.790.8224 Fax: 717.795.5567Messiah Lifeways Adult Day Services Client Intake Assessment Client Name: ___Home Phone: ___Address: ___ Date of Birth:

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Contact Messiah Village Adult Day program to inquire about availability and schedule.

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Complete the necessary intake forms and provide any required documentation.

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Submit the completed forms to the program coordinator.

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Attend an orientation session to learn more about the program and what to expect.

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Begin attending the adult day program on the scheduled days and times.

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Individuals who require daytime supervision or care due to aging or disabilities.

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Family caregivers who need respite or support in caring for their loved ones.

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Seniors who are looking for socialization and activities during the day.

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Messiah Village Adult Day is a program designed to provide care and support for elderly adults during the day.

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Caregivers or family members of elderly adults who need assistance during the day are required to file for Messiah Village Adult Day.

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The purpose of Messiah Village Adult Day is to ensure that elderly adults receive the care and support they need during the day while allowing their caregivers to attend to other responsibilities.

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Information such as the elderly adult's medical history, dietary requirements, medication schedule, and emergency contact information must be reported on Messiah Village Adult Day.

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