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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 *

Signed documents by your Physician

​Stone Hearth will assist with both of these documents

  • Medical History & Admission- ​

  • DNR or Code

* There are document exceptions for Temporary Stay individuals.

TEMPORARY STAY ITEMS

Items Provided by Stone Hearth

  • Comfortable twin bed (2nd floor apartment has a full-size bed)

  • All linens including towels, sheets blankets

  • Comfortable recliner

  • Television 

  • ​Other personal services as indicated in our Temporary Stay Service Agreement Addendum 

Personal Items for Consideration

  • Extra bedding (additional pillows or personal blankets)​

  • Phone with charger

  • Personal Items: razor, hair products

  • Clothing​

  • Walker for ambulation is needed

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