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Kansas 24 Hour Informed Consent Bring this document with you to your appointment printed on WHITE PAPER Please read and initial each section and sign your name at the bottom. DO NOT mail to Comprehensive
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01
Contact the community-based services provider to inquire about available services and eligibility requirements.
02
Complete any required intake forms and provide necessary personal information.
03
Attend an assessment or evaluation to determine the level of care needed and create a personalized service plan.
04
Work with a case manager or service coordinator to navigate the resources and supports available in the community.
05
Participate in regular check-ins and review meetings to ensure that the services being received are meeting the consumer's needs.

Who needs and community-based services consumer?

01
Individuals with disabilities who require assistance with daily living activities.
02
Elderly individuals who need support to remain independent in their homes.
03
People experiencing mental health challenges who could benefit from counseling or therapy services.
04
Families in crisis who need access to resources and support to maintain stability.
05
Individuals with chronic conditions who require ongoing medical care and assistance.
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A community-based services consumer is an individual who receives services or support from programs or organizations within a community setting.
The individual receiving the community-based services is required to file the necessary paperwork.
To fill out the community-based services consumer paperwork, the individual must provide accurate information about the services they are receiving and their personal details.
The purpose of the community-based services consumer paperwork is to track and monitor the services being provided to individuals within the community.
The information reported on the community-based services consumer form typically includes the type of services received, frequency of services, and personal information of the individual.
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