Get Vt Form Cfc706 2018

Completing the VT Form CFC706 online can streamline the referral process for individuals seeking adult family care services. This guide offers step-by-step instructions to ensure accurate and efficient completion of the form.

Follow the steps to fill out the VT Form CFC706 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the referral source information at the top of the form, including the name of the referral source agency and contact details.
3. List all authorized agencies that will receive the referral. Include the agency name and contact information for each.
4. Enter the client demographic information. This includes the client's name, date of birth, mailing address, current location, date of admission, and contact information of their legal representative, if applicable.
5. Input details regarding the client's medical care needs, checking all relevant boxes for assistance required with activities of daily living and any specific medical treatments needed.
6. Document any relevant medical history, including cognitive conditions like traumatic brain injury or dementia, as well as any behaviors or mental health diagnoses.
7. Indicate the client's accessibility needs, noting if wheelchair access is required, and any other particular living accommodations needed.
8. Provide an overview of the client's social history, marking 'yes' or 'no' for self-neglect and any involvement with adult protective services or incarceration.
9. Outline the client's preferences related to pets, smoking, and food. Make selections as needed based on the client's choices.
10. In the final section, add any other important information that may aid in processing the referral. You can also attach additional documentation.
11. Once the form is completed, save your changes. You may download, print, or share the form as necessary.

Complete your VT Form CFC706 online today to ensure timely processing of your referral.