{"id":505,"date":"2021-12-08T19:08:57","date_gmt":"2021-12-08T19:08:57","guid":{"rendered":"https:\/\/alleghanyseniorservices.org\/?page_id=505"},"modified":"2026-03-18T15:10:05","modified_gmt":"2026-03-18T15:10:05","slug":"client-registration","status":"publish","type":"page","link":"https:\/\/alleghanyseniorservices.org\/?page_id=505","title":{"rendered":"Client Registration Form DAAS 101"},"content":{"rendered":"<div class=\"brz-root__container brz-reset-all brz\">\n<section id=\"_wjdblitqyysnvyrhcecndohxwcspkwgmdnnn\" class=\"brz-section brz-css-aFAHE\">\n<div class=\"brz-section__content brz-section--boxed brz-css-kuLqn brz-css-ybkGg\" data-brz-custom-id=\"zswexfwhqalljwbsaudtpvjtsclaxilcqanr\">\n<div class=\"brz-container brz-css-kIqHC\">\n<div class=\"brz-row__container brz-css-zMJzf\" data-brz-custom-id=\"xjnyivolehgonzdkgnjzesixdetsnrhaxkoo\">\n<div class=\"brz-bg\"><\/div>\n<div class=\"brz-row brz-css-kGzaZ brz-css-kG_Oo\">\n<div class=\"brz-columns brz-css-wqLdv\" data-brz-custom-id=\"pewltwuxixtgljkqtnrcmcmylksndzkvtrjs\">\n<div class=\"brz-bg\"><\/div>\n<div class=\"brz-column__items brz-css-uObbr\">\n<div id=\"\" class=\"brz-css-wmqPj brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-kU39O\" data-brz-custom-id=\"ftjocwtdhhsafwkujqmvpekhukygfsembhgc\">\n<div data-brz-translate-text=\"1\">\n<p data-uniq-id=\"ndqzr\" data-generated-css=\"brz-css-trjhz\" class=\"brz-ff-overpass brz-ft-google brz-fs-lg-46 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-m_1_5 brz-lh-lg-1_3 brz-tp-lg-empty brz-text-lg-justify brz-css-kZFWU\"><span class=\"brz-cp-color7\">Registration Form<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-wqLdv\" data-brz-custom-id=\"hcuoynpsnsdvszvzkvsfqyarlldebphprntw\">\n<div class=\"brz-bg\"><\/div>\n<div class=\"brz-column__items brz-css-uObbr\">\n<div class=\"brz-wrapper-clone brz-css-r1RXf\">\n<div class=\"brz-d-xs-flex brz-flex-xs-wrap brz-css-wMfAQ\" data-brz-custom-id=\"\">\n<div class=\"brz-wrapper-clone__item\" id=\"qdcysnoqafrfojtsfjenouigfezraeznmmgv\">\n<div class=\"brz-hover-animation__container\" data-brz-hover-animationid=\"kmxddqbxvbuesibeeblkgfevqeqdhhnuuqbm\" data-brz-hover-options=\"%7B%22duration%22:600,%22iterations%22:1%7D\" data-brz-hover-reversible=\"true\" data-brz-hover-target=\"%22firstChild%22\"><a class=\"brz-a brz-btn brz-css-dnp3d brz-css-kvFYE\" href=\"http:\/\/alleghanyseniorservices.org\/wp-content\/uploads\/2021\/12\/Client-registration-form-DAAS101.pdf\" target=\"_blank\" rel=\"noopener\" data-brz-link-type=\"external\" data-brz-custom-id=\"qdcysnoqafrfojtsfjenouigfezraeznmmgv\"><span data-brz-translate-text=\"1\" class=\"brz-span brz-text__editor\">PRINTABLE REGISTRATION FORM<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"_tzkyaidgvcgsplomtxyoemuhalpgsszlgrxm\" class=\"brz-section brz-css-aFAHE\">\n<div class=\"brz-section__content brz-section--boxed brz-css-kuLqn brz-css-ozUPY\" data-brz-custom-id=\"vfgbdnmcpzmwkurivcfilimnedhnqxhsgoxc\">\n<div class=\"brz-container brz-css-kIqHC\">\n<div id=\"\" class=\"brz-css-wmqPj brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-kU39O\" data-brz-custom-id=\"bgsvjgpvzshtdaaulxdwthuynnphkjzwmlyk\">\n<div data-brz-translate-text=\"1\">\n<p data-generated-css=\"brz-css-bhype\" class=\"brz-css-jfAPu\"><strong>Section 1:Required for all clients<\/strong><\/p>\n<p data-uniq-id=\"glvel\" data-generated-css=\"brz-css-tejhn\" class=\"brz-css-dmIOS\"><em>This short Form  of the DAAS-101 Client Registration Form  may only be used to register congregate meal and transportation clients. Complete all applicable information below.<\/em><\/p>\n<ul>\n<li data-uniq-id=\"lvahs\" data-generated-css=\"brz-css-yswzy\" class=\"brz-css-vbF5c\"><em>HCCBG congregate nutrition (180), NSIP-only congregate meals (181), congregate liquid nutritional supplements(182) &#8211; complete Sections 1, 2, and 7 only.<\/em><\/li>\n<li data-uniq-id=\"lvahs\" data-generated-css=\"brz-css-yswzy\" class=\"brz-css-l_CpF\"><em>HCCBG general (250) or medical (033) transportation &#8211; complete sections 1 and 7 only. <\/em><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-wmqPj brz-wrapper\">\n<div class=\"brz-wp-shortcode brz-css-rQfmf\" data-brz-custom-id=\"ksfudbdbacwhkstqbmcpsamdzexofekuxjyt\">\n<div>[form id=&#8221;443&#8243; \/]<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<p>    <!-- version:1732635900 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Registration Form PRINTABLE REGISTRATION FORM Section 1:Required for all clients This short Form of the DAAS-101 Client Registration Form may only be used to register congregate meal and transportation clients. &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/alleghanyseniorservices.org\/?page_id=505\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Client Registration Form DAAS 101&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"brizy-blank-template.php","meta":{"footnotes":""},"class_list":["post-505","page","type-page","status-publish","hentry","entry"],"brizy_media":[],"_links":{"self":[{"href":"https:\/\/alleghanyseniorservices.org\/index.php?rest_route=\/wp\/v2\/pages\/505","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/alleghanyseniorservices.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/alleghanyseniorservices.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/alleghanyseniorservices.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/alleghanyseniorservices.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=505"}],"version-history":[{"count":12,"href":"https:\/\/alleghanyseniorservices.org\/index.php?rest_route=\/wp\/v2\/pages\/505\/revisions"}],"predecessor-version":[{"id":1090,"href":"https:\/\/alleghanyseniorservices.org\/index.php?rest_route=\/wp\/v2\/pages\/505\/revisions\/1090"}],"wp:attachment":[{"href":"https:\/\/alleghanyseniorservices.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=505"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}