--000000000000fc36160630debc06 Content-Type: text/plain; charset="UTF-8" Client consent paperwork uploaded - yes OT approved- no Intent correct yes HCL: Jen Office: Columbus Regional Intake Manager: Shelby Caregiver Manager: Carrie Client Success Manager: Brooke Referral Source: Forum Client Name: Carolyn Beckett Client Address: The Forum Rm 215 Gated Community/Code/Parking Instructions: Home Phone: Contact Person: Tom Beckett 614-432-2617. Assessment Completed on: 3/14 Schedule: 9am-1pm traditional services and dinner escort through Key at Home program 7 days week Start Date: Sat dinner 3/22 Am care start 3/23 Bill Rate: $36 hourly $25 escort -30 min Client Narrative: Client had a fall recently and is dealing with pain management. Needs am assist with showers and dressing make breakfast laundry if needed, light apt clean up escort to and from lunch Key at Home dinner escort Ht: Wt: Gender: female Routine/Tasks see above DL: no Car: no Cg preference: female Cats:no Dogs/Breed: no Smoking:no Jennifer Roenker LPN CEAL CDP Clinical Senior Home Care Liaison jennifer.roenker@thekey.com Mobile: (614) 955-9210 Office: (614) 481-8888 TheKey.com Inline image --000000000000fc36160630debc06 Content-Type: text/html; charset="UTF-8" Content-Transfer-Encoding: quoted-printable Client consent paperwork uploaded=C2=A0 - yes =C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0OT ap= proved- =C2=A0no Intent correct yes HCL: =C2=A0Jen=C2=A0 Office: Columbus Regional Intake Manager: Shelby Caregiver Manager: Carrie=C2=A0 Client Success Manager: Brooke Referral Source: Forum Client Name: Carolyn Beckett Client Address: The Forum Rm 215 Gated Community/Code/Parking Instructions:=C2=A0=C2=A0 Home Phone:=C2=A0 Contact Person: Tom Beckett=C2=A0 614-432-2617. Assessment Completed on: 3/14 Schedule: 9am-1pm traditional services and dinner escort th= rough Key at Home program 7 days week=C2=A0 Start Date: Sat dinner 3/22 Am care star= t 3/23=C2=A0 Bill Rate:=C2=A0 $36 ho= urly $25 escort -30 min=C2=A0 Client Narrative:=C2=A0 Client had a fall recently and is dealing with pain managem= ent. Needs am assist with showers and dressing make breakfast laundry if ne= eded, light apt clean up escort to and from lunch Key at= Home dinner escort Ht: Wt:=C2=A0 Gender: female Routine/Tasks see above=C2=A0 DL: no Car: no=C2=A0 Cg preference: female=C2=A0 Cats:no Dogs/Breed: no Smoking:no Jennifer Roenker LPN CEAL= CDP Clinical Senior Home Care Liaison jennifer.roenker@thekey.com = Mobile: (614) 955-9210 Office: (614) 481-8888 TheKey.com Inlin= e image --000000000000fc36160630debc06--