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Stone Hearth Estates Admission Items

ADMISSION FORMS

Documents needed from Home

  • POA (Power of Attorney)

  • Living Will

  • Insurance Cards (Medicare & Supplemental Insurance)

  • Identification Card (Driver's License or ID Card)​

  • Long-Term Care Insurance Policy

    • If you own a policy

  • Personal Check 

  • Petty Cash for personal expenses 

Stone Hearth Documents

  • Advance Directives​

  • Room Inspection

  • Resident Rights

  • Direction & Monitoring

  • Service Agreement Addendum (pricing)

  • Service Agreement (contract)

  • Medication List

  • Resident Handbook

  • Auto Deposit Form 

Documents for your Physician

​Stone Hearth will assist with these documents

  • Medical History & Admission- ​

  • DNR or Code

MEMORY ITEMS

Furniture

  • Twin-size Bed (head board only, no base board)​

    • Two Mattress Protectors

    • Two Sets of Sheets

    • Bedding and Pillows

  • Comfortable chair

  • Television if one is appropriate and HDMI cord

  • Bed-side table and lamp​​

  • Small dresser

Personal Items

  • Personal Items: razor, hair products, toothbrush, comb​

  • Clothing: button down shirts, pants that are easy to put on and off, coat and/or sweater, comfortable shoes​

  • Incontinence products

  • ​Square laundry basket

  • Phone and charger, if appropriate

  • ​Personal jewelry; please refrain from bringing important heirlooms  

  • Please text a picture to admissions coordinator and consider an email with wedding pictures, military picture or other pictures that tell a story.

  • Stone Hearth will supply all bath towels

  • Scenic pictures for hanging, small nails are appropriate. Please do not use command strips.

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