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Healthy Age Friendly Homes Program | Referral Form Participant Details (BLOCK CAPITALS) Full Name: Address: NB: Include Encode Date of Birth: IMPORTANT Contact Numbers:Age: L:M:Email Address: Date
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How to fill out healthy age friendly homes

01
Assess the current needs and lifestyle of the individual or family.
02
Identify potential hazards or obstacles that may pose risks to the health and safety of the occupants.
03
Make necessary modifications to the home to address these hazards, such as installing grab bars in the bathroom or improving lighting throughout the house.
04
Consider additional features that promote health and wellness, such as incorporating nature elements or creating spaces for exercise and relaxation.
05
Regularly review and update the home to ensure it continues to meet the changing needs of the occupants.

Who needs healthy age friendly homes?

01
Elderly individuals who may have mobility issues or other health concerns that require a home environment tailored to their needs.
02
People with disabilities who require accommodations to improve accessibility and independence within their homes.
03
Families with young children who benefit from a safe and nurturing living environment that supports their development.
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Healthy age friendly homes are residences that have been designed or modified to address the needs of aging individuals, including safety measures and accessibility features.
Homeowners, property managers, or developers may be required to file healthy age friendly homes depending on local regulations or incentives.
Healthy age friendly homes forms can typically be filled out online or submitted in person to the appropriate government agency or organization.
The purpose of healthy age friendly homes is to promote aging in place, independence, and quality of life for seniors by ensuring their living environment meets their changing needs.
Information that may need to be reported on healthy age friendly homes includes details about accessibility features, safety measures, and any modifications made to the residence.
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