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RIC's CARING FOR KIDS Program REGISTRATION FORM Child's Name: Child's Birthday: Child's Disability: Child's Primary Physician: Does your child's physician work at the Rehabilitation Institute of Chicago?
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How to Fill Out RIC's Caring For:

01
Start by gathering all the necessary information about the individual who requires care. This may include their full name, date of birth, contact details, and any specific medical conditions or disabilities they have.
02
Provide a detailed description of the care required. This could cover areas such as mobility assistance, medication management, personal hygiene, meal preparation, and emotional support. Be sure to include any specific instructions or preferences the individual may have.
03
Indicate the frequency and duration of care needed. Specify whether the care is required on a daily, weekly, or occasional basis, and for how many hours each day. This will help in determining the appropriate schedule for caregivers.
04
Identify any special considerations or accommodations that might be necessary. For example, if the individual requires wheelchair accessibility or specific dietary restrictions, make sure to mention these in the form.
05
Provide emergency contact information for the individual, including the name and contact details of a family member or trusted individual who can be reached in case of an emergency. This ensures that appropriate actions can be taken promptly if needed.

Who Needs RIC's Caring For:

01
Individuals with chronic illnesses or disabilities who require assistance with daily activities such as bathing, dressing, and meal preparation.
02
Elderly individuals who may be physically frail or have mobility limitations, requiring help with tasks like getting in and out of bed, walking, or taking medications regularly.
03
Individuals recovering from surgery or medical procedures, who may need short-term assistance with activities like wound care, medication monitoring, and physical therapy exercises.
Remember, RIC's Caring For is designed to cater to various individuals who may require different levels of care and support. It is essential to accurately fill out the form to ensure the appropriate care is provided to those in need.
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