Patriot Angels and Woodside Senior Living

Leading U.S. War Heroes to a better life – Start a FREE Consultation by calling 844-757-3047

Welcome Woodside Senior Living.

Thank you for working with Patriot Angels. Please fill out as much of the following information to create a lead in our system.

Date of Birth:

Mobile

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Date Entered Into Service:

Date Released From Service:

Did the Veteran receive an Honorable, Medical, or General Discharge?

Yes

Do you have an ORIGINAL or CERTIFIED COPY DD-214?

Yes

Do you need assistance with any ADL's?

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Have you ever applied for Aid & Attendance? Yes

Have you ever been denied A&A?

Yes

If yes, date you were denied

Are you receiving anything from the VA currently?

Yes

If yes, please list benefits