Admission Requirements

• History and Physical exam (no more than 5 days old)
• Physician’s orders for admission to Sanctuary at the Park
• Results of a chest x-ray (no more than 90 days old)
• OBRA screening form (MIMR forms 3877 and 3878 if necessary)
• Health insurance cards (Medicare, Medicaid, Blue Cross etc.)
• Social Security card
• Durable Powers of Attorney for Healthcare, Guardianship, Conservator, Health Care Surrogate (Not required)