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  • Arc Of Baltimore Application Form

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Based. It is based on a sliding scale. The maximum amount is $75.00 per day for Level I. Individuals considered at Level II, meaning requires the care of a nurse, will be reimbursed based on the rate charged by the nurse or nursing agency, up to $25.00 per hour or $250.00 per day. In order to be reimbursed at this rate, we must have a statement from the doctor stating that the individual receiving care does need licensed nursing care requiring Gtube feedings, tracheostomy care, ostomy care or in.

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How to fill out the Arc Of Baltimore Application Form online

This guide provides clear and supportive instructions for completing the Arc Of Baltimore Application Form online. By following these steps, users can ensure they successfully submit their application for respite services.

Follow the steps to fill out the Arc Of Baltimore Application Form online.

  1. Press the ‘Get Form’ button to access the form and open it for editing.
  2. Begin by entering the date of application at the top of the form. Be careful to fill in the date accurately.
  3. Provide your general information in the designated fields, including your name, date of birth, address, and contact information. Ensure that all details are clear and legible.
  4. Next, fill out the parent, guardian, or caregiver information section. Include their name, relationship to you, and contact details.
  5. List all the individuals living in your home, including their names, dates of birth, and relationship to the applicant, on the designated lines.
  6. Complete the medical information section with details regarding diagnoses, health care providers, medications, and any medical issues, ensuring accuracy.
  7. Address the speech and language information, mental health concerns, and any behavioral issues by answering the questions provided.
  8. Detail your financial situation in the background information section, indicating income from all applicable sources.
  9. Finally, ensure all signatures are obtained where needed, checking for any required authorizations to obtain information. Once completed, save your changes, and you may choose to download, print, or share the form as needed.

Complete your application for services online today!

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Our Mission The Arc Baltimore supports people with developmental disabilities to lead fulfilling lives with a sense of belonging, purpose and meaningful relationships.

Since 1949, The Arc Baltimore has been supporting people with developmental disabilities to lead fulfilling lives with a sense of belonging, purpose and meaningful relationships.

What is Baltimore Most Famous For? Baltimore Museum of Art. Inner Harbor. Edgar Allan Poe House and Museum. Go to a game at Oriole Park. Fort McHenry National Monument and Historic Shrine. Learn about Baltimore's deep African American roots. National Aquarium. Fells Point Historic District.

1981 – 1992: Association for Retarded Citizens of the United States (ARC)

With nearly 700 state and local chapters nationwide, The Arc is on the front lines to ensure that people with intellectual and developmental disabilities and their families have the support and services they need to be fully engaged in their communities.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232