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PRINTED: 11/09/2022 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Gather all necessary information about the patient
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Contact Aunt Max's respite care center to schedule an appointment
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Fill out the required forms with accurate information about the patient's medical history and care needs
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Submit the completed application to Aunt Max's respite care center for review and approval

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Patients who require temporary or short-term care and support
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Aunt Maxs respite care is a program that provides temporary relief to caregivers who are looking after elderly or disabled family members.
The primary caregiver or family member responsible for providing care to Aunt Max is required to file for respite care.
To fill out Aunt Maxs respite care, the caregiver must provide information about Aunt Max's condition, care requirements, preferred respite care options, and any other relevant details.
The purpose of Aunt Maxs respite care is to give caregivers a break from their caregiving responsibilities, allowing them to rest and recharge.
Information such as Aunt Max's medical history, care needs, medication schedule, emergency contacts, and any specific instructions must be reported on the respite care form.
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