Click Here to view MHA REST HOME LISTING
Admission to Level IV Rest Home Care requires potential candidate to undergo a physical at least 14 days prior to admission or up to 3 days after admission. It is also required to have the patient/potential candidate sign consents for antipsychotic medications, if applicable. A copy of a Health Care Proxy is also required to be shared with the Rest Home.
Each Rest Home has their own individual provisions and services independent to their facility. Please see Rest Home directory for specific services and amenities. This form is to understand the needs of the candidate and provide a starting point of contact for further assessment and considerations.
Please allow 3 business days for a response. For additional follow-up (no response) contact Ron Pawelski email@example.com the assigned MARCH designee for further information.
Thank you for your referral.