Florida Assisted Living Facility Cooperative Agreement & Community Living Support Plan

Form Template

The Florida Assisted Living Facility Cooperative Agreement & Community Living Support Plan app serves as a statement of understanding between the Mental Health Provider and the Assisted Living Facility (ALF) developed by the Mental Health Case Manager to ensure delivery of the appropriate services for the identified ALF Resident.

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The app outlines: assisted living facility details, resident contact information, and a required health assessment. In the app, users can indicate the specific needs of the resident to enable the resident to live in the assisted living facility and list other non-clinical support services and activities to be provided by or arranged for by the mental health care provider, case manager or other state Agencies.

Features
  • Signature Capture
  • Image Capture
  • Conditional Fields
  • Submission Editing
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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