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Appendix D6b: VA Legal Screening and Intake FormsMEDICALLEGAL PARTNERSHIP ) FOR SENIORS (MLPS)A project of the University of California, Hastings College of the Law and the University of California
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Obtain the medical-legal partnership form for seniors
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Fill out the personal information section including name, address, contact information, and date of birth
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Who needs medical-legal partnership for seniors?

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Senior citizens who are facing medical issues that require legal assistance
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Individuals who are struggling to access healthcare services or benefits
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A medical-legal partnership for seniors is a collaborative effort that combines healthcare and legal services to address the social determinants of health impacting elderly individuals. This partnership aims to improve the health outcomes and overall well-being of seniors by providing them access to necessary legal assistance.
Typically, senior citizens who are seeking assistance from the program or healthcare providers participating in the medical-legal partnership are required to file for the services.
To fill out a medical-legal partnership for seniors, individuals should complete the designated application form provided by the partnership, ensuring that all required information is accurately entered, including personal details, health information, and specific legal needs.
The purpose of a medical-legal partnership for seniors is to integrate legal assistance into healthcare settings to address legal issues that may affect seniors' health and well-being, such as housing, benefits, and elder abuse.
Essential information that must be reported includes the senior's personal identification details, contact information, healthcare preferences, specific legal issues they are facing, and any relevant documentation that supports their legal claims.
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