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our Caregiver Emergency Readiness PACK
Complete and post on refrigerator or take a picture of this document to store digitally on your phone or other device.
Includes:
Medical History
Medical Providers
Legal
Get the quick reference sheet now. Simply fill out the brief form.
First Name
*
Last Name
*
Email
*
Mobile Phone Number
Preferred Lifestyle
*
Preferred Lifestyle
Independent Living
Assisted Living
Memory Care
Select a Community
*
Select a Community
Serenades at Longwood
Serenades at The Villages
Serenades at West Orange
Sonata Boca Raton
Sonata Boynton Beach
Sonata Coconut Creek
Sonata Delray Beach
Sonata East at Viera
Sonata Lake Mary
Sonata Vero Beach
Sonata Viera
Sonata Windermere
Inquiring for
*
Inquiring for
yourself
your spouse
your parent(s)
your grandparent(s)
your friend
your relative
your non-relative
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