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Get Altcs Application Form Print Version 2010-2024

On County in Which vou Lived 0 NO 14. If you are applying for AL TCS and are legally man-ied to a spouse who resides in the community have you ever: A. Been admitted to a hospital since September 30, 1989? 0 YES 0 NO B. Been admitted to a nursing facility since September 30, 1989? 0 YES 0 NO C. Received any in-home services (e.g. home delivered meals, home health aide, adult day health, therapy, etc.) since September 30, 1989? 0 YES 0 NO D. Lived in a residential facility (e.g. Adult Foster Ca.

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