Standard Contracts
Resident Admission AgreementResident Admission Agreement • January 30th, 2024
Contract Type FiledJanuary 30th, 2024BACKGROUND: M.M. Ewing Continuing Care Center (hereinafter referred to as the "Facility") is duly licensed under New York State law to provide skilled nursing facility services. The Resident's physician has determined that the Resident requires skilled nursing facility services.
Medicare Resident Admission Agreement Campus TransfersResident Admission Agreement • August 31st, 2020 • Texas
Contract Type FiledAugust 31st, 2020 Jurisdiction
RESIDENT ADMISSION AGREEMENTResident Admission Agreement • March 31st, 2021 • New York
Contract Type FiledMarch 31st, 2021 JurisdictionFacility is duly licensed under New York State law to provide skilled nursing facility services. The Resident's physician has determined that the Resident requires skilled nursing facility services.
THIS MATTER INVOLVES A SUBSTANTIAL FINANCIAL INVESTMENT AND A LEGALLY BINDING CONTRACT. IN EVALUATING THE DISCLOSURE STATEMENT AND THE CONTRACT PRIOR TO ANY COMMITMENT, IT IS RECOMMENDED THAT YOU CONSULT WITH AN ATTORNEY AND FINANCIAL ADVISOR OF YOUR...Resident Admission Agreement • April 1st, 2020 • New Jersey
Contract Type FiledApril 1st, 2020 Jurisdiction
MORAN VISTA SENIOR LIVING 3319 E. 57TH AVE SPOKANE, WA 99223 RESIDENT ADMISSION AGREEMENTResident Admission Agreement • September 27th, 2011
Contract Type FiledSeptember 27th, 2011
SAMPLE BOARDING HOME RESIDENT ADMISSION AGREEMENT ~ MEDICAID RESIDENTS ~ Created July, 2000 by Boarding Home Resident Admission Agreement Workgroup:Resident Admission Agreement • April 23rd, 2021 • Washington
Contract Type FiledApril 23rd, 2021 JurisdictionNote: Words that are underlined and italicized are notes or instructions to the Facility; they should not be included in the actual admission agreement.
Resident Admission AgreementResident Admission Agreement • May 8th, 2018
Contract Type FiledMay 8th, 2018Admission Agreement ‘Kapiti Retirement Trust’ Physical Address Lodge Drive PARAPARAUMU Postal Address Lodge Drive Paraparaumu Telephone042970116 Fax042970985 Websitewww.retirekapiti.co.nz Chief Executive Officer E-mailceo@retirekapiti.co.nz Date of Admission Resident’s Details Full Name(s) (‘the Resident’) Date of Birth Previous Address Power of Attorney’s Details Full Name(s)
Resident Admission AgreementResident Admission Agreement • October 31st, 2024
Contract Type FiledOctober 31st, 2024BACKGROUND: M.M. Ewing Continuing Care Center (hereinafter referred to as the "Facility") is duly licensed under New York State law to provide skilled nursing facility services. The Resident's physician has determined that the Resident requires skilled nursing facility services.
RESIDENT ADMISSION AGREEMENT PRIVATE PAY RESIDENTS ASSISTED LIVINGResident Admission Agreement • January 19th, 2017
Contract Type FiledJanuary 19th, 2017
ADULT FAMILY HOME RESIDENT ADMISSION AGREEMENT (MEDICAID ELIGIBLE RESIDENTS)Resident Admission Agreement • May 4th, 2022 • Washington
Contract Type FiledMay 4th, 2022 JurisdictionThis is an Agreement between [insert name of Facility and Licensed Provider] (the “Facility”) and [insert name of Resident] (“Resident”).
Medicare Resident Admission AgreementResident Admission Agreement • January 19th, 2024 • Texas
Contract Type FiledJanuary 19th, 2024 Jurisdiction
RESIDENT ADMISSION AGREEMENTResident Admission Agreement • April 24th, 2018 • New Jersey
Contract Type FiledApril 24th, 2018 Jurisdiction
LONG TERM CARE RESIDENT ADMISSION AGREEMENTResident Admission Agreement • April 24th, 2018
Contract Type FiledApril 24th, 2018
RESIDENT ADMISSION AGREEMENTResident Admission Agreement • April 24th, 2018 • New Jersey
Contract Type FiledApril 24th, 2018 Jurisdiction
Community Living Home (CLH) Resident Admission AgreementResident Admission Agreement • April 11th, 2023
Contract Type FiledApril 11th, 2023(resident’s name). The CLH is licensed by the South Dakota (SD) Department of Health according to SD codified law Chapter 34-12 and administrative rules Article 44:82 Community Living Home. A CLH is a licensed facility providing 24-hour living accommodations and support for at least one adult resident, but no more than four adult residents who are unrelated to the owner or operator.
Woodland Grove Rectory Lane LoughtonEssex IG10 3RU0208 5089220www.oaklandcare.com Resident Admission General Terms & ConditionsResident Admission Agreement • September 5th, 2022 • Essex
Contract Type FiledSeptember 5th, 2022 JurisdictionThis document is important as, together with the Resident Admission Agreement (RAA), it is your contract with the Home. Any capitalised terms within this document are to be interpreted as having the same meaning as within the RAA, where the context so requires. You should read it carefully as it is legally binding. You may wish to seek independent legal advice as it is imperative that you have read and understood these Terms and Conditions before entering into this agreement. This document sets out our general Terms and Conditions that will apply if you decide to move into the Home.