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LONG TERM CARE RESIDENT ADMISSION AGREEMENT RESIDENT ADMISSION AGREEMENT for: Resident: (print full name) Responsible Party: (print full name) Home address: Home phone: Work phone: Relationship to

How to fill out long term care resident

How to Fill Out Long Term Care Resident:

1. Begin by gathering all the necessary information about the resident, such as their personal details, medical history, and any specific care needs they may have.
2. Proceed to the admission paperwork, which typically includes consent forms, insurance information, and financial arrangements. Make sure to review and fill out these documents accurately and thoroughly.
3. Provide accurate and detailed information about the resident's current health status, including any medications they are taking, allergies, and recent medical procedures or hospitalizations.
4. Include a comprehensive care plan, outlining the resident's specific needs and preferences for daily living activities, medical assistance, and social engagement. Be sure to consult with the resident and their family members to ensure their input is taken into consideration.
5. Document information related to the resident's care services, such as medication administration, dietary requirements, mobility assistance, behavioral and psychological conditions, and any specialized therapy or treatments they may need.
6. Review and sign all the necessary forms, making sure to provide your contact information and any emergency contacts in case further communication or authorization is required.

Who Needs Long Term Care Resident:

1. Elderly individuals who have difficulty with daily living activities, such as bathing, dressing, eating, or managing medications.
2. People with chronic illnesses or disabilities that require ongoing medical care and assistance from trained professionals.
3. Individuals recovering from surgeries, accidents, or medical conditions that require a longer period of specialized care and rehabilitation.
4. Those with cognitive impairments or memory disorders, such as Alzheimer's disease or dementia, who need a safe and structured environment.
5. Individuals who have limited social support and need assistance with social activities, companionship, and emotional support.
6. People who require access to specialized medical services or therapies, such as wound care, physical or occupational therapy, or palliative and hospice care.

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