Get Functions Report - Adult - Third Party - Breadforthecity

Filling out the Functions Report - Adult - Third Party - Breadforthecity is an essential step in understanding how a person's disabilities affect their daily life and ability to work. This guide provides clear instructions to help you navigate the process seamlessly online.

Follow the steps to successfully complete the Functions Report - Adult - Third Party - Breadforthecity online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section A, provide the name of the disabled person, your name, your relationship to them, and the date. Additionally, include your daytime telephone number, along with alternative contact information if applicable.
3. Indicate how long you have known the disabled person and describe the time you spend together, including activities.
4. Document the living situation of the disabled person by selecting the type of housing they reside in and who they live with.
5. In Section B, describe any illnesses, injuries, or conditions and how these impact the disabled person's ability to work.
6. Moving to Section C, provide a detailed account of the disabled person's daily activities, including their routine from waking up to going to bed.
7. Answer questions regarding whether the disabled person cares for anyone else, including pets, and detail the support they receive for these responsibilities.
8. Discuss personal care abilities and any special assistance required for grooming or medication.
9. Inquire about the disabled person's meal preparation skills, including frequency and types of meals cooked.
10. Provide information about household chores and the support needed for completing these tasks.
11. Describe how the disabled person gets around, including transportation methods and ability to go out alone.
12. Share information about shopping habits, bill-paying abilities, and any changes to these capabilities since their condition changed.
13. List hobbies, interests, and social activities they engage in, noting any changes since their health issues began.
14. Complete Section D by marking how each specific ability is affected and provide explanations as necessary.
15. Include any necessary information about assistive devices the disabled person uses, medicines they take, and any side effects.
16. In Section E, use the remarks section to provide additional relevant information, ensuring to complete all identification fields.

Start filling out the Functions Report - Adult - Third Party - Breadforthecity online today!