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	Caregivers Service Enrollment in the HealthOutreach Caregivers Service is FREE! The Caregivers Service offers you: • Needs assessment and recommendations/referrals • Asistance evaluating care options: home care, retirement community, skilled nursing facility and assisted living • Strategies for stress reduction and self-care • Individual counseling and support groups • Lectures on relevant topics • Crisis intervention • Physician referral and community services referral • Information about healthcare proxies, living wills and powers of attorney To become a join the HealthOutreach Caregivers Service, please complete the form below and click 'Enroll in Caregivers Service' located at the end of the document. Your application will be automatically delivered to HealthOutreach for processing. All information is kept confidential and is used for enrollment purposes only. Thank you for your interest in HealthOutreach. * I would like to enroll in HealthOutreach at (select recipient): Columbia Presbyterian Medical Center Weill Cornell Medical Center BOTH CPMC & WCMC Name Street Address City State Zip Code Telephone E-mail Date of Birth   Relationship of person to whom you give care: Date of birth:		About Us     What we do     Meet our staff       Health Education     Lecture series     Newsletters       Support Services     Individual counseling     Support groups     Caregivers Service     Geriatric Care Management     LIFELINE®     VoiceCare       Find a physician       Insurance Help     Health Insurance     Prescriptions       Locations       Enroll in HealthOutreach®

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