Get Single Point Of Access (s - Options For Community Living

This guide provides a detailed overview of filling out the SINGLE POINT OF ACCESS (S - Options For Community Living) form. It is intended to assist users in completing the application accurately and comprehensively for residential services through this program.

Follow the steps to complete your application.

1. Click ‘Get Form’ button to access the document and open it in your preferred editor.
2. Begin with Section A, Identifying Information. Fill in the applicant’s personal details including first name, last name, date of birth, social security number, and current marital status. Be sure to print clearly.
3. Complete the Emergency Contact section by providing the name, address, and phone number of the emergency contact.
4. Indicate the applicant's ethnicity and citizenship status. Include information regarding veteran status if applicable.
5. List all entitlements and sources of income the applicant receives or is pending, ensuring to include monthly amounts and any relevant details.
6. In Section B, detail the housing, employment, and education history along with preferences. Include locations of previous residence for the last five years.
7. Assess the applicant's skills and support needs in Section C. Rate their ability to manage daily living tasks based on the provided criteria.
8. In Section D, provide all psychiatric information. List the current diagnoses and details on psychiatric hospitalizations.
9. Complete Section E to disclose any medical conditions and current treatments, ensuring to list all medications.
10. Ensure all required documents are attached, including the psychosocial history, psychiatric summary, physical exam, and housing preference form.
11. Finally, check the completed application for accuracy, sign where required, and submit the form as instructed.

Complete the SINGLE POINT OF ACCESS form online to access community living services.