Things You’ll Need
When moving your loved one into a Care Home, the forms below will be helpful in relieving some of the stress in choosing the right home, as well as ensuring a smooth transition when making the move into that new home. If you're keeping your loved one at home, review the Home Safety Assessment Checklist to make sure that their home is safe.
Physician’s Report - REQUIRED
Prior to admission into a Care Home, the State of California requires this form to be completed by the Primary Care Physician, or attending Physician if in a medical facility, and provided to the Care Home of your choosing.
Move In Checklist
Moving into a Care Community and need to know what to bring? Review our Move In Checklist to aid in your decision on what personal belongings should come with you, and which items are not recommended.
Top 10 Questions to Ask
Use this form to assist in screening care homes during your visits so you can gather key information to make the best decision for your loved one.
Home Safety Assessment Checklist
Is your loved one’s home safe and free of tripping hazards? Review the Home Safety Assessment provided by the Department of Health and Human Services to see if any modifications are needed.