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Maunalani Nursing & Rehab Center

Climbing the heights for you...

Email: info@maunalani.org
Phone: (808) 732-0771
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You are here: Home / Intake Forms

Intake Forms

Resident Manual Aug 2019Download
FAQs GuidebookDownload

Please complete these intake forms:

  • RESIDENT’S ADMISSION AND FINANCIAL AGREEMENT
  • RESIDENT CERTIFICATION, AUTHORIZATION TO RELEASE INFORMATION AND PAYMENT REQUEST
  • Identifying Other Primary Payers During the Admission Process
  • REALISTIC EXPECTATIONS
  • AGREEMENT FOR SHORT-TERM SKILLED NURSING AND/OR SKILLED PHYSICAL REHABILITATION
  • RESIDENT SELF-DETERMINATION IN MEDICAL TREATMENT
  • ACKNOWLEDGEMENT
  • Additional Services
  • Acknowledgement of Resident Manual Receipt
  • DISCHARGE PLANNING
  • Elopement RISK ASSESSMENT

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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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