Senior Citizen's Guide to Metro Detroit Spring/Summer Edition 2017 - page 33

Use this Worksheet as you
consider your needs and
preferences for long term
services and supports.
• Talk with your caregiver or
family support person about this
Worksheet.
• Use this Worksheet in
discussions with your social
worker and care team about the
long term services and supports
that are best for you.
• Visit
to learn more about long term
services and supports in VA and
the community.
Long Term Care:
Shared Decision Making
Worksheet
Your eligibility is based on clinical need
and service or setting availability.
This worksheet can also be found at
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