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Application Process

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When you contact the admissions office you will be embraced by our staff.  Your application and medical information will be reviewed to determine if we can meet your needs at Providence Transitional Care Center and we will strive to provide you with a timely and respectful admission.
 
To apply for admission there are several forms that need to be completed. Some are completed by you and some need to go to your doctor for completion.

 

Please complete the following forms:
Admission Agreement.pdfAdmission Agreement
Fax Requirements Prior to Admissions.pdfFax Requirements Prior to Admissions
MEDICAID GUIDELINES.pdfMEDICAID GUIDELINES
MEDICARE COVERAGE For SNF.pdfMEDICARE COVERAGE For SNF
PALTCS Admission Application.pdfPALTCS Admission Application
PTCC 2015 rates.pdfPTCC 2015 rates
Tuburculosis Screening For PALTCS.pdfTuburculosis Screening For PALTCS
Take the following forms to your doctor for completion:
Long Term Care Authorization - LTC1.pdfLong Term Care Authorization - LTC1
Nursing Home Needs Assessment.pdfNursing Home Needs Assessment
SNF Transfer Orders.pdfSNF Transfer Orders

For more information
To learn more about Providence Transitional Care Center, please contact our admissions office at (907) 212-9259, Monday through Friday, 8 a.m. to 5 p.m. To find general information and specific health topics, visit our online health library.

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