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Thanks for watching. Most of my videos are meant to help families with with questions and problems I've been witness to over all of my years in senior housing. I hope you found this helpful.
Prepare for the move to assisted living, memory care or skilled nursing: 3 Steps
1. Gather Information:
Full Legal Spelling, Name:
Current Address:
Current Phone:
Date of Birth:
Place of Birth:
Social Security Number:
Marital Status:
Name of Spouse:
Spouse’s Address (if applicable):
Occupation (for majority of life):
Employer:
Church/Religious Preference:
Medical Information:
Secondary Insurance Information:
Hospital Preference:
Current Physician:
Current Physician Address:
Current Physician Phone number:
Name and phone # of dentist:
Food Allergies:
Drug Allergies:
Home Health Provider (If Applicable):
Hospice Provider (If Applicable):
Funeral Home preference (If Applicable):
Code status (i.e. DNR, Full Code):
Glasses:
Hearing Aid:
Dentures/Bridges:
Current weight:
Is resident continent?
Person Responsible For Paying Bills:
Power of Attorney (if different than Financial Guarantor):
• Name__________________________________________________________
• Address________________________________________________________
• Phone_____________________________________________________
• Email______________________________________________
Emergency contact 1:
• Name:
• Address:
• Relation:
• Phone:
• Email:
Emergency contact 2:
• Name:
• Address:
• Relation:
• Phone:
2. Ask Primary Physician for Two Items:
History and Physical
Medication List
3. Make Copies:
Insurance Cards
Medicare Cards
ID Card
Power of Attorney
Medical Power of Attorney
Guardianship Documentation
Advanced Directives
DNR
Put all of the above in one folder and it will relieve a load of stress when it comes time to make the move to senior housing.
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