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SENIORS HOME SUPPORT PROGRAM REFERRAL FORM Phone: (437) 2481642 Fax: (905) 9100951Patient Name (Last, First): Date of Birth (DD/MM/YYYY): Health Card: Address: City/Township: Markham Email: ALTERNATE
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01
Gather necessary personal information, such as name, address, and contact details.
02
Identify the specific types of support services needed, such as personal care, housekeeping, or meals.
03
Complete the application form provided by Seniors Home Support Eastern.
04
Attach any required documentation, such as health assessments or financial information.
05
Submit the application form through the designated submission method (online, mail, or in person).
06
Await confirmation and further instructions regarding the availability of services.

Who needs seniors home supporteastern?

01
Seniors who are experiencing difficulty in performing daily activities independently.
02
Elderly individuals recovering from surgery or illness.
03
Older adults who require companionship or social interaction.
04
Seniors living alone who may need assistance with household chores.
05
Individuals with mobility challenges that impact their ability to live safely at home.
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Seniors Home Support Eastern is a program designed to provide assistance and support services to seniors living in their homes in the Eastern region, helping them maintain independence and quality of life.
Seniors who are seeking assistance or benefits under the Seniors Home Support Eastern program are typically required to file.
To fill out the Seniors Home Support Eastern application, you need to complete the necessary forms, provide required documentation, and submit them to the designated agency or office responsible for the program.
The purpose of Seniors Home Support Eastern is to offer support services to seniors, enabling them to live independently in their homes while receiving the assistance they need.
Applicants must report personal information, financial details, and the specific types of support services they require when filing for Seniors Home Support Eastern.
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