Hawthorn House Admission Forms
HAWTHORN HOUSE
Widows of retired Air Force enlisted members may be eligible for subsidized rent. Surviving spouses requesting financial assistance should contact the Hawthorn House Admissions Department at (850) 651-3013 for more information.
PHYSICAL/MEDICAL CONSIDERATIONS FOR HAWTHORN HOUSE ADMISSION
Residents must be:
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Free of any communicable disease which is likely to be transmitted to other residents or staff; however, a person who is HIV (Human Immunodeficiency Virus) positive may be admitted if otherwise eligible.
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Able to perform activities of daily living with supervision or assistance, if necessary
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Able to transfer with assistance if necessary
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Capable of taking his or her own medication with assistance from trained staff if necessary; the facility may accept a resident who requires medication administration if the facility has appropriately licensed staff, or the resident contracts with an appropriately licensed third party to administer medication.
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Any special dietary needs can be met by the facility
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Not a danger to self or others
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Not require 24-hour professional mental health care
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Not be bedridden
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Not have stage 3 or 4 pressure sores
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Not require certain skilled nursing services, or 24-hours nursing supervision
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Be determined appropriate by the facility manager.
DOCTOR’S SIGNATURE ON THE MEDICAL FORM CANNOT BE DATED MORE THAN 60 DAYS PRIOR TO MOVING IN. The form must be filled out completely in order to be valid. Click on the link to download the medical form.
To download the Application for Admission for Hawthorn House that you can print out, fill in, and send to us, click here.
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