The Resident Admission Form is a streamlined, all-in-one
document designed for assisted living facilities to collect essential
information from new residents. This form simplifies the onboarding
process, ensuring your team gathers everything needed for personalized
care and regulatory compliance.
Key Features:
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Resident personal details (name, date of birth, social security number, marital status, gender)
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Contact information and emergency contacts
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Medical history, current medications, allergies, and primary physician details
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Mobility assistance and dietary needs
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Daily living assistance checklist (bathing, dressing, medication management, toileting)
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Additional preferences (language, religious or cultural needs)
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Resident acknowledgment and authorization for care planning
This form provides a clear structure for capturing all
critical information, helping your staff deliver individualized care and
maintain organized, compliant records. Perfect for assisted living
facilities seeking an efficient, professional solution for new resident
admissions.
