Primrose - Living With Memory Loss
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PRIMROSE Sacramento

Move In Documents for Primrose Sacramento
The following documents are PDFs - a free PDF reader can be downloaded HERE

Physician's Report For Residential Care Facilities for the Elderly (RCFE)
Physician's Prescription Blank
PRN Authorization Letter
Attachment K - Release of Medical Information
Preplacement Appraisal Form
Database Facesheet - Identification and Emergency Information
Consumer Disclosure Statement
Financing Long Term Care
Legal - Power of Attorney
High Risk Elopement Profile
Move In Agreement
Attachment B - Personal Rights
Attachment B - Personal Rights - Community Care Facilities and Residential Care Facilities for the Elderly
Attachment C - Theft and Loss
Attachment D - Locked Gate and Tracking Device
Attachment E - Consent to Photograph
Attachment F - Choice for Pharmacy
Kaiser Consent for Medication Charges
Copy of Insurance Cards
Attachment H - Family Handbook
Copy of Power of Attorney
Arbitration of Dispute
Attachment J - Shared Risk Agreement
Attachment M - Closure of Facility
Attachment L - Telecommunication Notification LIC9158
Attachment N - Daily Room Rates
Health and Safety Code
Release of Liability Possesions
Property Values List
Consent for Outings and Transportation
Release for Leave of Absence
Your Right to Make Decisions about Medical Treatment
DNR Primrose Letterhead Sacramento
Physician Orders for Life-Sustaining Treatment Brochure
Physician Orders for Life-Sustaining Treatment Form
Podiatry Agreement - Doctor Reeves
Primrose Salon Services
Email Listing Option
Dental Consent
Hearing Aid Services
Massage Therapy (Optional)
Primrose Resident Personal Profile
Sample Daily Menu
Sample Activities Calendar - Day Club
Sample Activities Calendar - Residential


Assisted Living Alzheimer's