Get Althafer Senior Placement And Referral Services - Althafer Assisted ...

Filling out the Althafer Senior Placement and Referral Services form is a straightforward process that enables efficient communication between facilities and service providers. This guide will help users navigate each section of the form with ease and clarity.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by filling in the 'Facility Name' field. Ensure the name of the Residential Care Facility is accurately provided to facilitate proper referrals.
3. Next, input the 'Address' of the facility. Include the full address to ensure accurate correspondence.
4. Proceed by entering the 'City' and 'Zip' code. This information is essential for locating the facility within the area.
5. Fill in the 'Phone', 'Fax', and 'Email' fields. These details are crucial for effective communication between ASPRS and the facility.
6. Review the terms outlined in sections 1 through 13 carefully. Confirm that you understand and agree to the responsibilities and obligations listed.
7. Once all fields are completed, ensure that the 'Facility Representative' section is filled with the printed name, title, and signature of the representative, along with the date.
8. The final step involves completing the 'ASPRS Consultant' section with the date.
9. After reviewing the entire form for accuracy, you may choose to save changes, download, print, or share the form as needed.

Complete the form online today to facilitate your referral process.