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Admission Forms

Pre-Admission Forms

      If you have already toured our property and would like to live at Magnolia Gardens, please print out the Checklist of Required Documents and the other forms listed below.  Bring your documentation and completed forms to our office along with the required non-refundable $85 application fee.  We will be happy to make copies of any original documents that you bring.

      If you have any questions, please contact our Marketing Director, Jan Logemann, at 727-489-6447.

2014 Checklist of Required Documents

2014 Application

2014 Rate Sheet

1823 AHCA Medical Assessment Form

Resident Financial Responsibilities

Full Disclosure of Income, Assets & Trusts

Authorization for Use or Disclose of Protected Health Information (PHI)

Notice of Privacy Practices

Acknowledgement of Receipt of Notice of Privacy Practices

 

Call today to schedule a tour of our beautiful property!
727-489-6440