Carney Cargill, Inc. 375 NE Ericksen Avenue Bainbridge Island, WA 98110 Phone: 206-842-8987 Health Life Disability Long-term Care Employee Benefits

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What Kind of Services Do I Need?

The first question to ask yourself when trying to decide what type of services are needed for you or for your loved ones is, "What kind of services do I need?" To help find out what kind of services you or a loved one need, check the items below that apply. Keep in mind that these needs may change over time.

Help With Daily Activities

[   ] Shopping

[   ] Preparing meals

[   ] Eating

[   ] Laundry and other housework

[   ] Home maintenance

[   ] Paying bills and other money matters

[   ] Bathing

[   ] Dressing

[   ] Grooming

[   ] Going to the bathroom

[   ] Remembering to take medicines

[   ] Walking

[   ] Other __________________________________________________

[   ] Other __________________________________________________

Health Care Needs (as recommended by a doctor or other health care provider)

[   ] Physical therapy

[   ] Speech therapy

[   ] Occupational therapy

[   ] Rehabilitation

[   ] Medical nutritional therapy

[   ] Oxygen

[   ] Care for pressure ulcers or other wounds

[   ] Alzheimer's disease care

[   ] Health monitoring (for diabetes, for example)

[   ] Pain management

[   ] Nursing care services

[   ] Other __________________________________________________

[   ] Other __________________________________________________

Related topics:

» Long-term Care Insurance
» How will I pay for these?
» Relative Cost Comparison
» How to choose the best quality?
» Medicare
» Medicaid