No No NA NA Yes Yes No No Special Dietary Needs NA NA Yes Yes No No Chronic Medical NA NA Conditions Yes Yes Self-Administration of No No Medication or Treatment NA NA Orders Yes Yes No No Preventative Screening NA NA Yes Yes No No Medical and Dental NA NA Appointments Yes Yes No No Other Health and Medical NA NA Needs: Yes Yes No No Other Health and Medical NA NA Needs: Personal Safety Assessment of the person’s ability to self-manage personal safety to avoid injury or accident in the service setting
No NA No NA Special Dietary Needs Yes No NA Yes No NA Chronic Medical Conditions Yes No NA Yes No NA Self-Administration of Medication or Treatment Orders Yes No NA Yes No NA Preventative Screening Yes No NA Yes No NA Medical and Dental Appointments Yes No NA Yes No NA Other Health and Medical Needs: Yes No NA Yes No NA Other Health and Medical Needs: Yes No NA Yes No NA Personal Safety Assessment of the person’s ability to self-manage personal safety to avoid injury or accident in the service setting