Information needed for admission

• Copy of PPD or Chest X-ray for Tuberculosis testing (within 30 days prior to entry)
• Current prescriptions to verify frequency, dosage and why medications are being given
• Three day supply of medications (until prescriptions can be filled)
• Fill out Admission Face Sheet (Family or responsible party)
• Review, complete and sign contract
• Financial Eligibility (included in contract)
• Copies of insurance cards
• Discharge summary (If coming from a hospital or nursing facility)
• Maryland Medical Order for Life-Sustaining Treatment (MOLST) forms
• Influenza Vaccination Consent form
• Omnicare Resident Admission Record and Agreement
• Have physician fill out Health Care Practitioner Physical Assessment Form
• Burial Arrangement Information
• Copy of COVID-19 Test Results (within 72 hours prior to entry)
• Power of Attorney

For questions about Admissions; contact Bruce @ 410-719-2273
Email completed forms to beechwoodassistedliving@comcast.net