Before admission, the following information is required in accordance with state and federal guidelines:

  • Complete history and physical, updated within the last 5 days
  • Complete list of diagnoses, current medications, diet, treatments, allergies, immunizations and therapy treatment needed
  • DCH 3877-3878 forms (screening for Alzheimer’s Disease or other dementia)
  • Copies of all insurance cards (front and back)
  • Copies of all legal papers such Power of Attorney, Court appointed Guardian or Conservator papers

If you have any questions regarding admission requirements, or would like to schedule a tour of our facility, please email: admissions@benziemaples.org or call 231-352-9674 ext 205.

Medicare & Medicaid Information

HIPAA