--0000000000005fe242063ba82067 Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable Client consent paperwork uploaded - yes OT approved- no Intention is correct HCL: Jennifer Office: Columbus Regional Intake Manager: Shelby Caregiver Manager: Carrie Client Success Manager: Jennifer Referral Source: Forum Client Name: Sandy Powell Client Address: 4590 knightsbridge Blvd., Columbus, OH 43214 RM 202 Gated Community/Code/Parking Instructions: Home Phone: 614.451.1830 Contact Person: Andrea Stover (614) 207-7298 Assessment Completed on: ReAssess 8/5 Schedule: 8/7 4pm-8pm 8pm-8am $36 8/8 8am-8pm 8pm-8am $36 8/9 8am- 8pm $36 8/10 8am-8pm $36 8/11 8am-8pm $36 8/12- 8/14 8am-12pm $36 (family here during the day) Key at Home pm visit 30min $25 8/15- 8/24 Key at Home 4-30min am care $25 3 60 min am care/shower $40 30 min pm visit $25 8/24-9/14 4-30min am care $25 3 60 min am care/shower $40 15 min pm visit $15 Laundry 1x weekly minimum after showers if needed Nurse visit Jen every Thursday $75 8/7 - 9/11 Start Date: 8/7 4pm Bill Rate: see above Client Narrative: Post fall/ Shoulder reconstruction Rehab stay Companion care/ Encouragement assistance with dressing and A.m. and P.m. care showering Laundry therapy exercises and walking Escort to meals Making sure she gets to life enrichment-Important!!! Light cleaning ie dishes, wiping the table, Kitchen and bathroom if needed Ht: 5=E2=80=992 Wt: 150 Gender: F DL: possible transport to therapy daughter will update if needed Car: Possibly TBD 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 --0000000000005fe242063ba82067 Content-Type: text/html; charset="UTF-8" Content-Transfer-Encoding: quoted-printable Client consent paperwork uploaded=C2=A0 -=C2=A0yes =C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0OT approved-=C2=A0= =C2=A0no Intention is correct HCL:=C2=A0=C2=A0Jennifer Office:=C2=A0Columbus Regional Intake Manager: Shelby Caregiver Manager:=C2=A0Carrie Client Success Manager: Jennifer Referral Source: Forum Client Name: Sandy Powell Client Address: 4590 knightsbridge Blvd., Columbus, OH 4321= 4 RM 202 Gated Community/Code/Parking Instructions:=C2=A0=C2=A0 Home Phone:=C2=A0 614.451.1830 Contact Person: Andrea Stover=C2=A0 (614) 207-7298 Assessment Completed on: ReAssess 8/5 Schedule:=C2=A0 8/7 4pm-8pm 8pm-8am $36 8/8 8am-8pm 8pm-8am $36 8/9 8am- 8pm = $36 8/10 8am-8pm =C2=A0$36 8/11 8am-8= pm $36 8/12- 8/14 8am-12pm =C2=A0$36=C2=A0 (family here during the day) Key at Home pm visit = 30min $25 8/15- 8/24 Key at Home=C2=A0 4-30min am care $25 3 60 min am care/shower $40 30 min= pm visit $25 8/24-9/14 4-30min am care $25= =C2=A0 3 60 min am care/shower $40=C2=A0 = 15 min pm visit $15 Laundry 1x w= eekly minimum after showers if needed=C2=A0 Nurse = visit Jen every=C2=A0Thursday $75 8/7 -=C2=A09/11 Start D