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* 1. Your name:

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* 2. Client's name

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* 3. Date and time of call, date of emails, or date you left a message

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* 4. How does the senior appear to be managing during the Covid-19 time?

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* 5. Does the senior have sufficient medication?

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* 6. Does the senior have sufficient food and other basic needs?

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* 7. Any concerns about frauds/scams?

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* 8. Do you have any other concerns about the senior?

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* 9. Do you have any comments for the Eras staff, such as an issue that should be followed-up on?

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* 10. Anything else we should know?

0 of 10 answered
 

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