The following information will need to be provided the day of or prior to admission:

Admission Requirements & Forms

• History and Physical exam (no more than 30 days old)
• Physician’s orders for admission to Sanctuary at the Shore
• Results of a chest x-ray (no more than 90 days old)
• OBRA screening form (MIMR forms 3877 and 3878 if necessary)
• Health insurance cards (Medicare, Medicaid, Blue Cross etc.)
• Social Security card
• Durable Powers of Attorney for Healthcare, Guardianship, Conservator, Health Care Surrogate (Not required)

A resident cannot be admitted from home without all necessary medical forms. To assure a current History and Physical, an appointment with the patient’s attending physician may be required.

Sanctuary at the Shore does not discriminate on the basis of age, disability, race, color, national origin, ancestry, religion, sex or source of payment.