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Aging & Disability Resource Center of Waukesha CountyOctober 2018The ADRC Connection514 Riverview Ave Waukesha, WI 53188 Local: 2625487848 Toll Free: 8666772372 Fax: 2628968273 TTY: 711 Website: www.waukeshacounty.gov/
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Form aging and disability refers to the official documentation that is used to report and evaluate the needs and resources of individuals experiencing aging-related challenges and disabilities.
Individuals who are applying for benefits related to aging or disability, as well as caregivers and service providers submitting information on behalf of clients, are typically required to file this form.
To fill out the form, individuals should gather relevant personal information, medical documentation, and details about living situations and support systems. Then, complete each section accurately, providing all required signatures and dates.
The purpose of the form is to assess eligibility for various services and benefits available to older adults and individuals with disabilities, ensuring they receive appropriate support and assistance.
Information required on the form typically includes personal details (name, address, etc.), medical history, current living arrangements, financial information, and the nature of the aging or disability.
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