9201 Portner Ave, Manassas, VA   (703) 335-8400
 
 

Admissions Checklist

 

 
 

Once you have secured an apartment at Caton Merchant House, there are forms that need to be filled out and returned prior to admission.

There is a lot to think about and do prior to moving to Caton Merchant House and the process can be overwhelming! This checklist will ensure that all the paperwork is complete and approved prior to admission so that you can concentrate on the emotional and physical transition that is taking place.

FORMS TO BE RETURNED AT ANY TIME PRIOR TO ADMISSION:

Application

Authorization to Release Confidential Information

UPON PLACING A DEPOSIT:

Verification of Reception and Acknowledgement of Disclosure (on the back of the Disclosure Statement)

Arrange an assessment of future Resident to be completed by Director of Nursing and Admssions Director

Sign and return the Letter of Assurance

NO LATER THAN TWO WORKING DAYS PRIOR TO ADMISSION:

Return Report of Resident Physical Examination for approval by Director of Nursing

Return Resident Accommodations Agreement

NO LATER THAN DAY OF ADMISSION:

Provide a copy of Durable Power of Attorney Agreement (if applicable)

Provide a copy of Advanced Directives and/or Original DNR form (if applicable)

Provide a copy of all insurance cards