RESIDENT ENTRY CHECKLIST (Form-0005)
Name:
Arrival Date:
/
Day
/
Month
Year
Date
Address:
Room No:
CHECKLIST
Yes
N/A
Initial
Date
Client Information & Authority (Form-0001A)
Copies of Medicare / Pension / Translink /
Taxi / ID Card
Doctor's file
Medication / PRN / Injection Card completed
Mandatory consent forms
Photo taken for Resident Wall
Jotform diary note for staff
Hospital Transfer Form
Pharmacy notified / Forms completed
Staff notified:
Yes
N/A
Initial
Date
Head Office (Accounts)
Kitchen Staff
Maintenance and Cleaning Staff
Rental and spending account payments:
Yes
N/A
Initial
Date
Public Trust / Centapay / Direct Debit / Bank Details
R18 Tenancy Agreement signed
House Rules explained
Induction to facility and fire evacuation
Key given
Resident's details entered into MYP
Resident file created in Sharepoint
Name of staff:
Signature of staff member:
Date
/
Day
/
Month
Year
Preview PDF
Submit
Should be Empty: