Admission Agreement
Medical Assessment
Medical Insurance (front and back)
POLTS (Physician Orders for Life-Sustaining Treatment)
Advance Directive
Admission Documents
Please upload a copy of the following documents before admission.
Power of Attorney
Copy of Identification, with photo (ID or passport)
How to Electronically Submit Forms
Step 1: Download the PDF
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Click the file you need.
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The file will open. Save it to your device (usually in your Downloads folder).
Signing on a Phone or Tablet
You can open and sign PDFs using any of the apps below:
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iPhone / iPad: Use the built-in Files app or Apple Books
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Android: Use Google Drive, Adobe Acrobat Reader, or Xodo PDF Reader & Editor
To sign:
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Open the PDF in one of the apps listed above.
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Tap the pen or signature icon.
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Draw your signature with your finger or stylus.
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Place it where needed, then tap Done or Save.
Signing on a Laptop or Desktop
You can sign the PDF using these free options:
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Adobe Acrobat Reader (Windows or Mac): https://get.adobe.com/reader/
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Mac Preview (for Mac users) — already installed
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Smallpdf or PDFescape — free online PDF editors
To sign:
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Open the PDF in your preferred program.
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Look for a Fill & Sign or Sign tool.
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Type, draw, or upload your signature.
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Save the signed PDF to your computer.
Step 3: Send It Back
Once signed and saved, you can:
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Email it to us at carehomesforu@gmail.com