Registration Forms

Once you have chosen our center for your loved one's care, you and your loved one's physician will need to complete a number of forms as part of the pre-registration process. For your convenience, we have posted all of the forms right here. After completion, you may drop off the forms at the center, return by mail, or fax them to us at 860-372-4013.

Please be aware that, due to health and safety reasons, physicians forms must be completed and returned to us before attendance at the center. Please feel free to contact us if you have any questions.

Click below to download the forms:

• Welcome Letter
• Admission Assessment Form
• Agreement of Responsibilities
• Client Income Verification Form
• Client Rights
• Discharge Plan
• Emergency Contacts
• Financial Responsibilities
• Grievance Procedure
• Medical Form
• Medical Letter to Doctor
• Medication Policy and Consent Form
• Therapeutic Recreation Assessment
• Unwanted Medical Information and Order Form

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