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Caregiver Connections Registration
May 14 - Housing options for adults with IDD
Caregiver Connections Flyer
1.
Name of parent/caregiver attending the meeting
2.
Phone Number
3.
Does your adult/individual over 18 need care that evening?
Yes
No
4.
Does he/she have any dietary restrictions?
Yes
No
5.
Does your individual needing care have any allergies?
Yes
No
6.
Does your individual needing care have any behavior issues?
Yes
No
7.
If you answered yes to any of the above three questions, please explain.