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615 East Franklin Humboldt, KS 66748 Phone 6204733456Resident Name: ___ADMISSION AGREEMENT ADULT DAY PROGRAM Arrowhead Lane and ___ hereby agree to the following financial Resident Responsible Party
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How to fill out adult day care service

01
Contact the adult day care service provider and inquire about their program and services
02
Schedule a visit to the facility to see the environment and meet the staff
03
Fill out an application form with personal information, medical history, and emergency contact details
04
Provide any necessary documentation such as medical records or doctor's notes
05
Discuss any specific needs or preferences with the staff to ensure personalized care

Who needs adult day care service?

01
Adults who require supervision and assistance during daytime hours
02
Family caregivers who need respite from caregiving responsibilities
03
Individuals with cognitive impairments or physical disabilities that prevent them from being alone during the day
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Adult day care service is a program designed to provide care and companionship for seniors or adults with disabilities during the day, allowing their caregivers to go to work or take a break.
Adult day care service providers are required to file the necessary paperwork for their program.
To fill out adult day care service, providers must gather information about the participants, activities, staff, and any medical or dietary needs.
The purpose of adult day care service is to provide a safe and stimulating environment for seniors or adults with disabilities while their caregivers are unavailable.
Information reported on adult day care service may include participant demographics, activities offered, staff qualifications, medical protocols, and program evaluations.
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