For Catered, Assisted, and Transitional Living

• Completed, signed, and approved Admission Application, including the $500 application fee.
• Physician completed and signed History and Physical form (dated no more than 5 days prior to move-in), including the list of all medications and dosages.
• Copy of Chest X-ray report (dated no more than 90 days prior to move-in)
• In-person medical review completed by Pilgrim Manor's Clinical Nurse Liaison
• Signed Accommodation Acceptance form
  
• Signed Pilgrim Manor admission contract and attachments
• $2500 admission fee
• Copies of all medical insurance cards, social security card, ambulance contract, ambulance contract card, etc.
  
• Copies of current Power of Attorney papers, Patient Advocate forms and living wills, etc.

For Skilled Nursing

• Completed, signed, and approved Admission Application
• Physician completed and signed History and Physical form (dated no more than 5 days prior to move-in), including the list of all medications and dosages.
• Copy of Chest X-ray report (dated no more than 90 days prior to move-in
• In-person medical review completed by Pilgrim Manor's Clinical Nurse Liaison
• Signed Pilgrim Manor admission contract and attachments
• Copies of all medical insurance cards, social security card, ambulance contract, ambulance contract card, etc.
• Copies of current Power of Attorney papers, Patient Advocate forms and living wills, etc.