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Get the free Better at Home - Referral Form

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This form is designed to collect pertinent information for referrals to the Better at Home program, which assists seniors in the Central Island Community. It gathers details about the client, their living situation, income, and requested services.
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Better at Home is a program designed to assist seniors and individuals with disabilities by providing essential services to help them maintain independence in their own homes.
Individuals who require assistance with daily living activities due to age or disability are typically eligible to file or enroll in Better at Home services.
To fill out the Better at Home application, individuals should contact local service providers or visit the program's website to obtain the necessary forms, complete them with accurate information, and submit them as directed.
The purpose of Better at Home is to provide support and services to seniors and individuals with disabilities, enabling them to live safely and comfortably in their own homes.
Individuals must report personal information, the type of services needed, health condition details, and any relevant financial information required for eligibility assessment.
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