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Whole-Person Care
Boundless Health is now accepting new primary care patients!
Our team specializes in providing whole-person health care for people with intellectual and developmental disabilities, their families, and the community.
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Health
Primary, dental, and behavioral health care.
Health
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Day services and vocational training.
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Residential support and family services.
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Personal Information
Diagnosis & Caregiver
Physical Information
Eating Habits
Taxable Income
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Date
Child's Date of Birth
Name of Family Member With Developmental Disabilities
Address
Street Address
City
State
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
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Guam
Hawaii
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Indiana
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Kansas
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Northern Mariana Islands
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Quebec
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Yukon
Zip Code
Parents/Guardians
Name
Relationship
Phone
Email
Does the family reside in Franklin County?
Yes
No
Is the family member currently enrolled in a Franklin County Board of Developmental Disabilities program?
Yes
No
If yes, name of program:
Does the family member with substantial developmental disability live at home with his/her family on a full-time basis?
Yes
No
If individual is school age, please indicate school district of attendance:
Physician
Name
Phone
Physician Address
Street Address
City
State
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip Code
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