The program helps family and informal caregivers care for their loved ones at home for as long as possible. Once your person has lost capacity permanently, they can no longer fill out a medical POA form.Legal documents for people with Alzheimer's and other dementias – learn about guardianship, power of attorney, living wills, living trusts and more. Most Maryland family law court forms are in this index. About our Chapter Helpline Call 800.272. Spouse, fill in this section. List all assets owned in the month the applicant was admitted to a long-term care facility. The information you provide will be used to (1) help improve programs for seniors, or (2) find out if you qualify for a program. If you need assistance with completing the application or would like to check the status of your 1010CG application please call 1-855-260-3274. In order to complete the Dementia Friends session, you need to watch at least 3 video shorts.