independent living facility?

independent living facility?
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form_title=independent living facility form_header=9343 What is the current living arrangement for the care recipient?*= {Select One,Home (lives alone),Home (lives with spouse),Home (lives with partner),Home (with care services),Assisted Living,Residential Care Home,Lives with family,Hospital,Nursing Home,Retirement Community} What is the length of time for housing or care needed?*= {Select One,Long-term care (10 weeks or more),Short-term care (Less than 10 weeks)} Would you like any personal care services along with regular care? (see below for specific personal services)*= () No - personal care services are not required. () Yes - care recipient needs the personal services selected below. () Bathing () Eating/feeding () Dressing/grooming () Toileting Who is it that you are needing care for?*= {Select One,Mother,Father,Spouse,Son,Daughter,Grandparent,Other Relative,Friend,Client,Myself}
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