Planning Ahead - Florida Developmental Disabilities Council

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Identification cards are with:Name Address Phone NumberPremiums are paid by:Name Address Phone NumberCopies of policy(ies) are with:Name Address Phone NumberFINAL ARRANGMENTSPersons to contact at time of death:NAMEADDRESSPHONENUMBERRELATIONSHIP (Personal,co-worker, neighbor,other)Funeral and burial arrangementshave been made:Burial plot purchased: Yes NoType of Marker preferred and epitaph:If prepaid, policies/contracts can be found:Yes No Prepaid: Yes NoHeadstone/MarkerYesNoCemetery/Mausoleum Name: Address Other:Preferred funeral company (if applicable):Name: Address Phone NumberCremation:Burial of ashesInternment of AshesAshes Given to: Name Address78 Section 2, The Personal Information Section
Memorial Service: Yes No Location:Special content of service: Yes No Describe:Flowers Yes No Specified donations:Songs to be played:Invite these persons to the service:Preferred Clergy/EulogistAddressPhone NumberQUICK REFERENCEIs currently known to the following developmental disabilities professionals:Social Worker:SupportCoordinator:Phone Number:Phone Number:Other professional(coach, supervisor,etc.):Agency Title:Phone Number:Needed services or benefits that have not been provided are:Name of Service (Benefit)On Waiting ListYesNoSection 2, The Personal Information Section79
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AcknowledgementsWe would like to th
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SECTION 1THE HANDBOOKDevelopmental
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in realizing goals and outcomes he
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• Identify agencies and organizat
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TO BE SURE YOU HAVE ACCESSED ALL AV
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CHAPTER THREEUsing Government Benef
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Property or assets mean real estate
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There is a special program for peop
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Department of Elder Affairs: The De
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Be sure to complete the application
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Most services provided to persons w
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CHAPTER FIVEAdvocating and Coordina
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family member receives services. De
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• Use the chain of command. If yo
Page 34 and 35: 28ChooseYour family member may make
Page 36 and 37: 7. Skilled Nursing HomeSkilled nurs
Page 38 and 39: There are now more opportunities fo
Page 40 and 41: If your family member really thinks
Page 42 and 43: pre-need directive. As the term ind
Page 44 and 45: Can the Living Will and the Health
Page 46 and 47: Although it is not required by stat
Page 48 and 49: The potential ward, if capable of u
Page 50 and 51: LETTERS OF INTENTIn addition to hav
Page 52 and 53: TAX ISSUESIn your planning, do not
Page 54 and 55: CHAPTER TENDealing WithHealth Care
Page 56 and 57: CHAPTER ELEVENCoping with Changes a
Page 58 and 59: • Arrange visits to an area funer
Page 61 and 62: SECTION 2THE PERSONALINFORMATION SU
Page 63 and 64: Senior CenterHomemakerPersonal Care
Page 65 and 66: List relatives who are emotionally
Page 67 and 68: Recognizes danger of: (Circle those
Page 69 and 70: Do violent or sexually suggestive T
Page 71 and 72: The type of neighborhood preferred
Page 73 and 74: During the day goes to:EMPLOYMENT/R
Page 75 and 76: Provide a brief summary of Medical
Page 77 and 78: Section 2, The Personal Information
Page 79 and 80: The following activity (e.g., being
Page 81 and 82: PROTECTING LEGAL RIGHTS AND FINANCI
Page 83: Has a standby guardian been appoint
Page 89 and 90: SECTION 3HELPFUL ATTACHMENTSDevelop
Page 91 and 92: Additional Instructions (optional):
Page 93 and 94: My Personal OutcomesWHO AM I?What g
Page 95 and 96: Bill Of RightsIn June of 1975 the G
Page 97 and 98: Stakeholders requested a change in
Page 99 and 100: Adjudicatory hearing to determinein
Page 101 and 102: Guardianship To-Do List(Step-by-Ste
Page 103: New York State Developmental Disabi
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Planning Ahead - Florida Developmental Disabilities Council

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