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REFERRAL FORM FOR
CHATS at Airing
p
ADULT DAY PROGRAMArirang Friendly
Community Center
Please fax completed referral to: 9057131705Attention: CHATS at Airing Adult Day Programmable referral completed
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How to fill out adult day care center

How to fill out adult day care center
01
Contact the adult day care center to inquire about their services and availability.
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Schedule a tour of the facility to see the environment and meet the staff.
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Fill out the necessary paperwork including enrollment forms, medical history, and emergency contact information.
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Provide any relevant medical records or medications to the staff for reference.
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Discuss any specific care needs or preferences with the staff to ensure they can accommodate them.
Who needs adult day care center?
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Adults who require assistance with daily activities such as grooming, feeding, or medication management.
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Seniors who may be isolated and could benefit from socialization and companionship.
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Family caregivers who need respite and support in caring for their loved ones.
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What is adult day care center?
Adult day care center is a facility that provides care and support for elderly or disabled adults during the day.
Who is required to file adult day care center?
The owner or operator of the adult day care center is required to file.
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The adult day care center must be filled out with information about the services provided, staff qualifications, and safety measures.
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The purpose of adult day care center is to provide a safe and stimulating environment for adults who need assistance or supervision during the day.
What information must be reported on adult day care center?
Information such as number of clients served, staff-to-client ratio, types of activities provided, and any incidents or accidents that occurred.
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