PROVIDER’S NAME:Aalpha Resources, LLC
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TIME
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Eating
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Bathing
Sunday
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Dressing
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Grooming
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Transferring
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Ambulation
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Toileting
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Light Housekeeping
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Food Preparation & Storage
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Shopping
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Laundry
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Medication Reminders
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Assist to Scheduled Medical Appointment
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Assist to Arrange Medical Transportation
Sunday
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Accompany to Medical Appointments
Sunday
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Section Break

DATE:

PROGRESS NOTES:

- Observed changes in physical and mental condition (if applicable)

- Documentation of any SIGNIFICANT DEVIATION from what is in the Plan of Care (POC)

- Important information for the next worker or caregiver

Note data
DATE:
NOTE:
 
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