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Youth and Adult Services Application for Services Fill in the entire form as completely as possible. The information provided is confidential and is needed to provide MAC with a basis of assisting
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How to fill out dhs-390 adult services application

01
Obtain a copy of the DHS-390 adult services application form.
02
Provide all requested personal information, such as name, address, date of birth, and contact information.
03
Fill out the sections regarding your medical history, current health status, and any disabilities or needs that you may have.
04
If applicable, include information about your income, assets, and financial resources.
05
Sign and date the application form before submitting it to the appropriate agency or organization.

Who needs dhs-390 adult services application?

01
Individuals who are seeking adult services such as medical assistance, disability support, or financial aid.
02
Those who require assistance with daily living activities or specialized care for chronic health conditions.
03
Adults with physical or mental disabilities who need support services to help them maintain their independence and quality of life.
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DHS-390 adult services application is a form used to apply for adult social services provided by the Department of Human Services.
Individuals who are in need of adult social services and meet the eligibility criteria are required to file the DHS-390 adult services application.
To fill out the DHS-390 adult services application, individuals need to provide personal information, details about their needs, and supporting documentation.
The purpose of the DHS-390 adult services application is to assess the needs of individuals and determine their eligibility for adult social services.
Information such as personal details, financial information, medical history, and support needs must be reported on the DHS-390 adult services application.
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