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DD Adult Foster Care Residency Agreement for private-pay individuals- handwritten version- 2-2016 - oregon

DD Adult Foster Care Residency Agreement for private-pay individuals- handwritten version- 2-2016 - oregon-2026

DD Adult Foster Care Residency Agreement for private-pay individuals- handwritten version- 2-2016 - oregon Preview on Page 1

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The document is a Consumer Residency Agreement for a DD Licensed Adult Foster Home, outlining the terms of residency for an individual or their legal representative. It details payment obligations, living accommodations, policies on decor and locks, storage limitations, basic care services included in the monthly rate, and conditions for voluntary and involuntary moves. Additionally, it addresses smoking policies, visitor regulations, pet policies, house rules, resident rights under Home and Community-Based Services (HCBS) rules, and emphasizes that this residency is not governed by the Oregon Residential Landlord Tenant Act.

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Click ‘Get Form’ to open the DD Adult Foster Care Residency Agreement in the editor.
Begin by entering the name of the Individual Resident or their legal representative in the designated fields at the top of the form.
Select whether you are renting a Single Occupancy Room or Shared Occupancy Room and fill in the start date for your month-to-month tenancy.
Input the agreed monthly payment amount and specify the due date for payments each month.
Complete details regarding any refundable damage deposit required prior to admission, ensuring clarity on terms related to normal wear and tear.
Fill out sections regarding living accommodations, including any personal items you wish to bring, and ensure you request written approval for any modifications.
Review and complete all sections related to basic care services included in your monthly rate, as well as policies on smoking, pets, and visitors.
Finally, sign and date the agreement along with your legal representative if applicable. Ensure all parties have a copy of this signed document for their records.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How much does adult foster care pay in Oregon?

If you are eligible for Medicaid assistance, the local ODHS office will determine the total amount the provider will be paid for your care. Based on your income, ODHS will decide how much Medicaid will pay and how much you will need to pay of the total amount.

What are the requirements for an adult foster home in Oregon?

Adult foster care is approximately half the cost of nursing home care, and in most cases, it is also a less expensive option than assisted living. One should expect to pay between $2,000 $5,000 a month. Some of this large variance is related to geographic location and some is based on the residents care needs.

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