iN2L Tablet Program

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iN2L Tablet Program

Everyone deserves to continue living a full life as they age—one with joy, purpose, and meaningful connections. iN2L brings people together, connecting seniors with what interests and fulfills them and enabling them to share conversations, experiences, learning, and fun with each other, their caregivers, and family members.

iN2L is proud to offer the industry’s most extensive library of content, thoughtfully tailored with a broad range of individual needs and interests in mind. With more than 5,000 content applications that support the core dimensions of wellness, we make it possible to customize resident engagement for every elder.

Recipients must be 60 years or older and have high-speed Wi-Fi internet.

First Name *

Last Name *

Gender *

Female

Male

Prefer not to say

Date of Birth *

YYYY

Race? *

Ethnicity? *

Hispanic

Non Hispanic

Address *

City *

Zip Code *

Mobile Phone Number *

Secondary Phone Number

Email Address *

English Speaking? *

Yes

Primary Language *

Do you have Internet Access? *

Yes

How did you hear about this program? *

Disabled? *

Yes

Are you currently receiving services through the Medicaid Long-Term Managed Care Program?

Yes

Clear selection

Emergency Contact Name *

Relationship to Member *

Emergency Contact Phone *

Name of Staff Person Filling out Form
*

N/A

Other:

Notes

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