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Handbook

Admission Information and Forms

Welcome Letter
Skilled Nursing Center Charges

Beauty/Barber Shop Rates

Cable Line-Up

Physicians with privileges for Assisted Living and Skilled Nursing
Patient and Resident Handbook for Skilled Nursing Care
Resident Bill of Rights for Skilled Nursing
Sub-Acute  Admission Application

Long Term Care Admission Application
Assignment of Insurance Benefits
Consent for Influenza Vaccine
Medicare Secondary Payor

Ombudsman Disclosure
Privacy Disclosure
Privacy Act
Receipt of Residents Bill of Rights and Handbook
Financial Disclosure Form
Physician Admission Medical Assessment
Long-Term Contractual Agreement
Bed Hold

Optional Forms:

Authorization for Automatic Debits
Laundry Services

House of the Good Shepherd

(908) 684-5900
info@hotgs.org
798 Willow Grove Street, Hackettstown, NJ 07840

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