Additional Requirements Section
Does your organization provide any of the following forms of transportation assistance?
Referral Process: Do you need to be referred to receive services?
If Yes, please describe the referral process?
Statement of medical need, 142 and passr to qualify for admission
Payments: Which form of payments does your organization accept?
Are there additional criteria for clients to receive services?
142 for nursing home admission
Is there public transportation available with one mile of your company/agency? (Does the city bus route have a stop within walking distance?)
Is there any additional information your agency/company would like to provide?