Enrollment
Begin enrollment in four simple steps.
1. Schedule a tour · 2. Complete intake · 3. Pre-enrollment assessment · 4. Confirm enrollment.
Enrollment Sections
Pick where you want to start.
Application & Forms
Detailed pre-enrollment intake and program-specific applications.
Program Enrollment
Choose Program A/B/C/D and complete its enrollment.
Program Assessments
Pre-enrollment assessment for the right care plan.
Insurance & Financial Information
Private pay, Medicaid LTC, VA, LTC insurance.
Downloadable Forms & Policies
Center policies, refund / cancellation, media consent.
Pre-Enrollment Inquiry
Tell us about your loved one — we'll route the right program.
Document Checklist
What to gather before enrollment.
Our intake coordinator will guide you — but the more you bring to the assessment, the faster we can match your loved one to the right plan.
Talk to intakeGovernment-issued photo ID
Driver's license, state ID, or passport for the participant.
Insurance card(s)
Medicare, Medicaid (incl. LTC waiver), Medicare Advantage, VA, or commercial — front and back.
Medication list
Current medications including name, dose, frequency, and prescribing physician. Original labeled containers required if brought to the center.
Primary physician information
Name, practice, phone number, and most recent visit date.
Emergency contact information
At least two contacts with phone numbers and relationship to the participant.
Power of Attorney (POA)
Durable POA documents if a family member or representative makes care decisions.
Healthcare surrogate / advance directive
Designated healthcare surrogate forms, living will, or DNR if applicable.
Diagnosis & medical history summary
Dementia / Alzheimer's stage, Parkinson's, diabetes, cardiac history, etc.
Mobility & equipment information
Wheelchair, walker, cane, oxygen, hearing aids — and any transfer instructions.
Therapy notes (if applicable)
Recent PT, OT, or speech therapy notes.
Dietary restrictions & allergies
Diabetic, low-sodium, vegetarian, no-pork, thickened liquids, feeding-assist needs.
Authorized pickup list
Names and phone numbers of every adult permitted to pick up the participant.
Signed enrollment forms
Includes media consent, transportation consent, and policy acknowledgement.
Enrollment Application
Detailed enrollment form
The more complete this form is, the better we can prepare your loved one's care plan ahead of the assessment.
Pre-Enrollment Inquiry
Not ready for the full application yet? Start here and we'll route your inquiry to the right program.
Program Assessments
Every participant is assessed before enrollment.
The pre-enrollment assessment determines Standard vs Enhanced Care placement, transportation eligibility, dietary accommodations, medication-reminder needs, and the daily structure best suited to your loved one. Assessments are held at the center or in-home for mobility-limited adults.
Schedule assessment