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Completed by Aging and Disability Services Date received by Intake:Intake worker initials:Assigned OIC:Police Case Number:Assigned Lead ADS Case manager:Risk level:Aging and Disability Services REFERRAL
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How to fill out aging and long-term support

01
Gather all necessary paperwork, including personal identification and financial information.
02
Contact your local Area Agency on Aging to complete an assessment and determine eligibility for services.
03
Work with a case manager to develop a care plan that meets your needs.
04
Research and choose a long-term care provider that fits your preferences and budget.
05
Review and sign all necessary paperwork to begin receiving services.

Who needs aging and long-term support?

01
Individuals who are elderly and require assistance with daily tasks due to aging-related limitations.
02
Individuals with disabilities who need ongoing support to maintain their independence and quality of life.
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Aging and long-term support refers to services and support for elderly individuals or individuals with disabilities who require assistance with daily activities.
Individuals or organizations that provide aging and long-term support services are required to file aging and long-term support reports.
Aging and long-term support reports can be filled out online or submitted through the appropriate governmental agency.
The purpose of aging and long-term support is to ensure that elderly individuals or individuals with disabilities receive the necessary care and support to maintain their quality of life.
Information such as the type of services provided, number of individuals served, and any challenges or successes in providing support must be reported on aging and long-term support.
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