First service residential my community

    • [DOCX File]Voluntary Agreement for Respite Care and Crisis Services ...

      https://info.5y1.org/first-service-residential-my-community_1_32c13c.html

      Community Programs to place my child , born on , Name of Child (First, MI, Last. Date of Birth (mm/dd/yyyy) in a foster home, group home, shelter care facility, or residential care center for the purpose of crisis stabilization. I understand that this stay is for purposes of crisis stabilization services only and does not constitute an “out ...

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    • [DOCX File]Certified Community Residential Services and Support ...

      https://info.5y1.org/first-service-residential-my-community_1_123c8c.html

      I certify, under the penalty of perjury under the laws of the State of Washington and by my signature, that the information provided in this application and all additional documents and forms required for Certified Community Residential Services and Support Agency are true, complete, and accurate.

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    • [DOC File]Sample of Letter to Request Reasonable Accommodation

      https://info.5y1.org/first-service-residential-my-community_1_5a141c.html

      Re: Reasonable Accommodation for my disability . Dear [BUILDING MANAGER NAME]: I live at [ADDRESS] in [UNIT NUMBER] and have lived there since [DATE]. I am a qualified individual with a disability, as defined by the Fair Housing Amendments Act of 1988. Our building's rules state [XXX].

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    • HOME- AND COMMUNITY-BASED SERVICES

      Residential Rehabilitation Services (RRS) RRS can help if your child needs more structure as they recover from addiction. RRS will provide ongoing education, counseling and support in a 24 hour home-like setting, also known as halfway houses. When your child is ready to leave, RRS will help them get ready to re-enter their home and community.

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    • Mass.Gov

      A service designed to provide training and instruction about the treatment regimes, behavior plans, and the use of specialized equipment that support a Participant in the community. Community/Residential Family Training may also include training in family leadership, support of self-advocacy and independence for the family member.

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    • [DOCX File]CHAPTER 32

      https://info.5y1.org/first-service-residential-my-community_1_75276a.html

      Jul 03, 2019 · My support coordinator has provided me with the toll-free number to contact the Health Standards Section if I want to report a complaint about my support coordinator or waiver service provider(s). That number is 1-800-660-0488.

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    • [DOC File]City of Pine Lawn

      https://info.5y1.org/first-service-residential-my-community_1_2d440e.html

      residential vacant property registration form The purpose of the City of Pine Lawn Residential Vacant Property Program is to help protect the health, safety and welfare of the citizens by preventing blight, protecting property values and neighborhood integrity avoiding the creation and maintenance of nuisance residential dwellings and buildings.

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    • [DOC File]DMS-618 Personal Care Assessment and Service Plan

      https://info.5y1.org/first-service-residential-my-community_1_15d887.html

      Community-Based Residential Home (Residential Care Facility (RCF) ( Other (Describe): ... Providers requesting extensions of benefits for clients aged 21 and over must complete only the first item—“Additional Service-Time Increments Requested” and dates of service. The remainder of the page is your notification of approval or denial, to ...

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    • [DOCX File]Vermont Coordinated Services Plan

      https://info.5y1.org/first-service-residential-my-community_1_f3f705.html

      My child’s information will be shared with LIT, SIT, and/or CRC so that they can (1) review my child’s CSP and/or (2) review the request for intensive wrap-around or residential care. I can look at or get a copy of the information about my child that is shared with LIT, SIT, and/or CRC by writing a …

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    • [DOCX File]Home and Community-Based Assessment Tool

      https://info.5y1.org/first-service-residential-my-community_1_3e7b5b.html

      Is the setting located separate and apart from the broader community? Does the setting limit full access of individuals receiving Medicaid HCBS to the greater community, including opportunities to engage in community life equally to individuals not receiving Medicaid HCBS and in a way that is consistent with the individual’s person-centered service plan?

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