This government document is issued by Department of Aging for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:p5rt2izphxk&q=https://www.aging.pa.gov/publications/aging-program-directives/Program%2520Area%252024%2520%2520Protective%2520Services%2520Intake%2520and%2520In/APD%252097-24-01%2520Protective%2520Service%2520Report%2520of%2520Need.pdf&sa=U&ved=2ahUKEwiZg_mx7K_8AhWNRMAKHYA6Ay44KBAWegQIAhAC&usg=AOvVaw1ZghJjT89KqmV2S5TUUERd