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<br />QUESTIONNAIRE <br />C:JBG-FUNOED ACTJVITIES <br />=OMF'LIANCE WfTH REHABfLfTATION ACT OF , 9'73 (SEC'7"ION 504) <br /> <br />As yo;.. answer t"lrs cuestlonnalre, ::on510.' pot.nt..l ci..nts WItt' <br />. rteann; rm:>a,rmen! <br />mOOlllty rm:>atrmen: <br />- :-ondnlons Wf'l1=t"1 Keep tilem home- <br /> <br />Vl510r. trr::;.alrmerr. <br /> <br />- menta: :.an:II:&:;lt <br />or ::are ta:iiny -Doun:, <br /> <br />1 . Wtur. HMoes are prOvtoecf' <br /> <br />Senior Outreach service to seniors and disabled adults. The Senior Outreach <br />Worker visits with them in their homes to assist them in obtaining vital <br />medical. financial, nutritional. or social services. The Outreach Worker <br />follows UP with the client as needed and often makes multiple efforts on their <br />behalf. Case mana~ement, referral and acvocacy se~.ices provided. <br /> <br />2, Wnere co YOL.: ;:lrOVICe servloes"? <br /> <br />Senior Outreach Worker goes to the homes of the seniors and disabled adults <br />in the C:ity of Ramsey_ <br /> <br />Ir:di:ate 'Wr1e~~e~ or <br /> <br />....... <br />j h..l~ <br /> <br />eaor: ;:lnys:::a! <br /> <br />lo::atloi; IS a::=essiole to tnose wrt~ <br /> <br />m:::Ji::0.' <br /> <br />1~=-alrmer:!S , <br /> <br />:*!1€ EUIDa:: Se:-,,"::.::e Cen~e:- c: .A....~oka Coun-:y.. \o-."ne:--e -:he ?:-o~raffi ......... admiT:.is'te::-ec~ is <br />~L:ly a==essib~e an~ ex~eeds ~ede::-E: 5~2n6E~cis. 5oweve~ the Ou=~eacD ~cTke~ <br />~O~kE ~~ ~jc =o=m~~~~y anc ~oeE c~Te=~ly ~c ~nt nomeE c: 5enic~s anc ~~s&tlec <br />ad.ul~s. ':hesc loca=:-ons may c':" 1I42.y no:: be ac::ess:..b:l.e. <br /> <br />~ <br />.., <br /> <br />t: ai1Y O~ you; sites are ii1a==esS:~le, \N:ia~ a=::ommo::::atioi1s <br />servi:es ~~ ~~=se ~~:: :a:-;r1~~ a:::ess you~ ~~a::e o~ ::1USI~eS5? <br /> <br />::a.r: <br /> <br />Y::lL.i <br /> <br />i:iaKe ::: <br /> <br />--t:J~ <br />_;1_- <br /> <br />See ::-: <br /> <br />~~\Irr' := v:::;..: :=~~~~:=zte ~=::=es ~e=a~=;~= v:;:..::- se:"\/~=es ~. e-~I,-'-'L.-, ,e"".~ <br />. _ _. _- "._-':1 .j.. <br /> <br />-:ow wi;, ~':~ <br /> <br />::ommUi1t::alE w::;: ~ose wm-, nean~; 0; VlSIO;; 1~=-aJ:-:ile;r!S" <br /> <br />~~~a~;~ ~ewE ~E~~&~ =z~~~;s, <br /> <br />_."'''._-~PC' <br />-.......-.- ---..-- , <br /> <br />~Dc~-to-doc~ ~C=~E=:~ ~e=e~~~:~ <br /> <br />=~~= c~~e= ~ge~~ies. ~= ;~o~~ ~~ese==z~i~s (=c= ou~~eac~ se~ces). <br /> <br />?2S~~~~~E =2~ e~~:o~e~= <br /> <br />::je: <br /> <br />O~~~ea=~ ?~~~~~ a~E ~~s~ec ~= lo=~: <br /> <br />:;2.De:-s. J05~ec. <br /> <br />-- ,..--,.... "::" <br />co..... ~.............-.-_... <br /> <br />~~~ :~s~e~ ~~=~~~~ ~n= s~a~E <br /> <br />j c: Se=,--~::E. <br /> <br />':ne <br /> <br />-- -- . .~- - . . <br />~~: .:::e.:---:...::-.:: __= =:;-:'E...__...,~ E..::.:::es.s:..:~~ =::- =-=?~:"'::"!!le::-=E ~ aE :.s -::l~ c==:....::e E.:: <br /> <br />-....1::""':. :c:=- <br />---- -- <br /> <br />:::~-,;.-' <br /> <br />/16 <br />