Admission Requirements & Forms
Admitted from Home, Assisted Living or Adult Foster
Care Home
- History and Physical exam (no more than 5 days old)
- Physician’s orders for admission to Sanctuary at St. Paul's
- Results of a chest x-ray (no more than 90 days old)
- Health insurance cards (Medicare, Medicaid, Blue
Cross etc.)
- Social Security card
- Durable Powers
of Attorney for Healthcare, Guardianship, Conservator,
Health Care Surrogate (Not required)
A resident cannot be admitted from home without all
necessary medical forms. To assure a current History
and Physical, an appointment with the patient’s
attending physician may be required.
Your family member will be assigned to a physician
prior to admission. If a resident’s attending
/ family physician wishes to be responsible for following
the resident at Sanctuary at St. Paul's, arrangements
MUST be made prior to admission.
Federal and Indiana law and rules require that the
resident’s attending physician see the resident
within 48 hours of admission, every 30 days for the
first 90 days and a minimum of every 30 to 60 days thereafter.
Admission Forms
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