DESTINATION FOLLOWING DISCHARGE Your social worker and other team members can explore the answers to the following questions with you. For additional information, check out the chapters on Community Resources and Home Modifications. 1. Where will you be living? Street Address: _________________________________________________________________ City: _______________ State: _____________ Zip: __________ Phone: (_____)_____________ 2. Is your residence accessible or does it need modification? 'Accessible          'Needs Modification What modifications are needed? ______________________________________________________________________________ ______________________________________________________________________________ 3. How are you going to make your home and community environments barrier free? ______________________________________________________________________________ ______________________________________________________________________________ 4. How can you obtain the equipment you will need to make your home accessible? ______________________________________________________________________________ ______________________________________________________________________________ 5. Who can you contact for home modifications? Company or Organization: ________________________________________________________ Street Address: _________________________________________________________________ City: _______________ State: _____________ Zip: __________ Phone: (_____)_____________ Company or Organization: ________________________________________________________ Street Address: _________________________________________________________________ City: _______________ State: _____________ Zip: __________ Phone: (_____)_____________ 6. Who will pay for the adaptations? 'Individual (you personally)          'Organization or government agency Organization: __________________________________________________________________ Contact Person: ______________________________________ Phone: (_____)_____________ 7. How will you pay for your living expenses? 'Individual (you personally)          'Organization or government agency Organization: __________________________________________________________________ Contact Person: ______________________________________ Phone: (_____)_____________