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This form must be fully completed. This form cannot be processed if consent from the client (or their legal representative) is not provided below.
This self-assessment connects you to the TCARE (Tailored Caregiver Assessment and Referral) Program. This is a one-on-one caregiver support program that may require you to engage with an assigned TCARE Coach. If you wish to participate in the program, continue to the self-assessment. Please be advised that a TCARE Coach may be in contact with you via phone or email.
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