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January 6, 2009
Caregiver Support
Daily Money Management
Corporate/Community Education
Elite
Provider
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Elite Provider Network
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Become an Elite Long-Term Provider Now!
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Become an Elite Home Care Provider Now!
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It is estimated that U.S. companies lose up to $33 billion annually due to family caregiving duties of their employees.
Elite Long-Term Provider Network Sign-Up:
* Name:
* Owned By:
* Address:
* City:
* State:
* Zip Code:
* Main Contact:
* Phone #:
* Email:
Web Address:
Company Brochure (pdf's and word docs only):
Non-Profit Org.?:
Non-Profit
For Profit
Care Levels:
Independent Living
Assisted Living
Assisted Living Memory Care
Nursing Care
Nursing Memory Care
Continuing Care Retirement Community (CCRC)
Service Care Levels:
Rehabilitation
Physical Therapy
Speech Therapy
Occupational Therapy
Respiratory Therapy
Respite Care
Who creates the residents care plan?
Costs:
Payment methods:
Private Pay
Medicare
Medicaid
Entrance Fee:
Yes
No
Amount Range:
Low End $
High End $
Comments:
Independent Living:
Studio Range:
Low End $
High End $
/per
day
month
annually
1 Bedroom Range:
Low End $
High End $
/per
day
month
annually
2 Bedroom Range:
Low End $
High End $
/per
day
month
annually
Add. Occupant Range:
Low End $
High End $
/per
day
month
annually
Comments (unit types):
Services Included:
Utilities
Phone
Meals
per day
Linen Service
Cable
Emergency Call System
Housekeeping:
per week
Security
Assistance with:
Bathing
Dressing
Grooming
Additional Services available at $
per service
Comments (list additional services available and their costs if applicable):
Assisted Living:
Studio Range:
Low End $
High End $
/per
day
month
annually
1 Bedroom Range:
Low End $
High End $
/per
day
month
annually
2 Bedroom Range:
Low End $
High End $
/per
day
month
annually
Add. Occupant Range:
Low End $
High End $
/per
day
month
annually
Comments (unit types):
Services Included:
Utilities
Phone
Meals
per day
Linen Service
Cable
Emergency Call System
Housekeeping:
per week
Security
Assistance with:
Bathing
Dressing
Grooming
Comments (list additional services available and their costs if applicable):
Assisted Living (Memory Support):
Studio Range:
Low End $
High End $
/per
day
month
annually
1 Bedroom Range:
Low End $
High End $
/per
day
month
annually
Comments (unit types):
Services Included:
Utilities
Phone
Meals
per day
Linen Service
Cable
Emergency Call System
Housekeeping:
per week
Security
Assistance with:
Bathing
Dressing
Grooming
Comments (list additional services available and their costs if applicable):
Nursing Care:
Semi-Private Range:
Low End $
High End $
/per
day
month
annually
Private Range:
Low End $
High End $
/per
day
month
annually
Comments (unit types):
Services Included:
Utilities
Phone
Meals
per day
Linen Service
Cable
Emergency Call System
Housekeeping:
per week
Security
Assistance with:
Bathing
Dressing
Grooming
Comments (list additional services available and their costs if applicable):
Nursing Care (Memory Supported):
Semi-Private Range:
Low End $
High End $
/per
day
month
annually
Private Range:
Low End $
High End $
/per
day
month
annually
Comments (unit types):
Services Included:
Utilities
Phone
Meals
per day
Linen Service
Cable
Emergency Call System
Housekeeping:
per week
Security
Assistance with:
Bathing
Dressing
Grooming
Comments (list additional services available and their costs if applicable):
Community Amenities:
Beauty/Barber Shop
Lounge
Fireplaces
Guest Suites
Pool
Golf
Tennis
Valet
Pets
Transportation Services
Library
Computer Access
Chapel
Wellness Center
Concierge Service
Community Comments:
Activities and Programs:
Cards/Games (i.e. Bridge & Bingo)
Music
Fitness
Water Activities
Crafts
Reading
Computers
Movies
Religious/Spiritual Activities
Occasional Excursions
Comments:
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