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You are here: Home / Intake Forms / Intake Forms- AGREEMENT FOR SHORT-TERM SKILLED NURSING AND/OR SKILLED PHYSICAL REHABILITATION

Intake Forms- AGREEMENT FOR SHORT-TERM SKILLED NURSING AND/OR SKILLED PHYSICAL REHABILITATION

July 18, 2011 By Maunalani Staff

  • Maunalani Nursing and Rehabilitation Center

    AGREEMENT FOR SHORT-TERM SKILLED NURSING AND/OR SKILLED PHYSICAL REHABILITATION

    The undersigned hereby acknowledges that [Name of Resident, below] (hereafter referred to as "Resident"), is being admitted to Maunalani Nursing and Rehabilitation Center, (hereafter referred to as "Maunalani"), for the purposes of participating in a short-term program of skilled nursing and/or skilled physical rehabilitation.

    A limited number of beds are available at Maunalani for the provision of skilled nursing and skilled rehabilitative care. Therefore, cooperation on the part of Resident and Family is vitally important in order that you, as well as to others in the community, may benefit from this limited service.

    During this stay at Maunalani, the undersigned agrees to make preparations for the return of the Resident to home or community at the conclusion of the "skilled" program, as determined by Maunalani's interdisciplinary team, including the attending physician.

    Undersigned understands and agrees to abide by this short-term skilled nursing and/or skilled physical rehabilitation agreement.

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Maunalani Nursing and Rehabilitation Center

5113 Maunalani Circle
Honolulu, HI 96816
Phone: (808) 732-0771
Email: info@maunalani.org

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