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Redetermination Program Service Provider/Participant Agreement TEMPLATEParticipant Name ___ UCI Number___ Birthdate___/___/___ Regional Center___ Address ___Phone___Service Provider Name or Company___
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How to fill out self-determination program service

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How to fill out self-determination program service

01
Contact the self-determination program service provider to inquire about eligibility and availability of services.
02
Complete any required paperwork and documentation such as an application form, medical history, and personal goals.
03
Work with a program coordinator to develop an individualized service plan based on your needs and preferences.
04
Participate in regular meetings and check-ins to monitor progress and adjust the service plan as needed.
05
Take an active role in your own care and advocate for the support and resources you need to achieve your goals.

Who needs self-determination program service?

01
Individuals with disabilities who want to have more control over their own care and services.
02
People who prefer a person-centered approach to support and want to make decisions about their own lives.
03
Those who are looking for more flexibility and choice in the types of services and supports they receive.
04
Family members or caregivers who want to empower their loved ones to live more independently and autonomously.
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Self-determination program service is a program that allows individuals with disabilities to have more control over the services and supports they receive.
Individuals with disabilities who wish to participate in the self-determination program service are required to file.
To fill out the self-determination program service, individuals with disabilities must provide information about their needs, preferences, and goals.
The purpose of self-determination program service is to empower individuals with disabilities to make choices and decisions about their own lives.
Information that must be reported on self-determination program service includes the individual's needs, goals, preferences, and the services and supports they require.
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