ࡱ> W bjbjll 7eec7 8t4$"U#W#W#W#W#W#W#$&){#E{##I!I!I!dU#I!U#I!I!!I" IL9"A##0$A"*B*I"*I"@^I!L{#{#r$* :  815 Hopkins Road " Williamsville " New York " 14221 Phone (716) 688-0111 " Fax (716) 688-7266 APPLICATION FOR RESIDENCY Date ____/____/____ Accommodation Preferred: ( Private ( Semi-Private ( Suite Name ________________ Last First Middle Address___________ Street City State Zip Telephone _________ _ Date of Birth ___/___/___ Social Security # ________ Age ____ Gender: ( Male ( Female Citizenship_____ ________________ Are you a Veteran: (Yes (No Spouse of Veteran: (Yes (No Marital Status: ( Single ( Divorced ( Widowed ( Married Name of Spouse __ Number of Living Children _ Former Occupation _____ Religion _____________ Place of Worship__________________________________________ Person(s) to be Notified in Case of Emergency: Home Work/Cell Name Address/Zip Code Phone Phone Relationship _____________ ____________ ________ Power of Attorney/Guardian/Conservator: Attach copies of documents to this application Name __________________________ Telephone __________________ Address ______________City State Zip Person to Receive Monthly Invoice: Name________________________________________________ Telephone__________________ Address____________________________ City ______ State ___ Zip _________ Health Care Providers Type of DoctorNameAddressTelephone/Fax( In-house Physician815 Hopkins Road Williamsville, NY 14221(716) 688-0111(716) 688-7266( Retain Current Primary PhysicianPreferred HospitalDentistCardiologistNeurologistOrthopedicSurgeon Home Care AgencyOther Advance Directives: Attach documents to this application MOLST: (Yes (No Do Not Resuscitate Order: (Yes (No Health Care Proxy: (Yes (No Living Will: (Yes (No Other: ______________________ Funeral Home ___________________________________________________________________ Health Insurance: Attach copies of ALL insurance cards to this application Medicare No._____________________ Part A _______ Part B ________ Effective Date___/___/___ Medicaid Case No.____________________________ CIN No. ______________ County _________ Effective Date _____/_____/_____ Pending Application/Date Submitted _____/_____/_____ Health Ins. Co.________________ Policy No.______________________ Group No._____________ Other Health Ins. Co.______________ Policy No._____________________ Group No.___________ Prescription Insurance Co.____________________________ Policy No.______________________ Pharmacy to be used at our residence: ( In-house Pharmacy ( Other (Include Name/Address/Phone#) ___________________________ ____________________________ ____________________________ Financial Information: Attach current bank/financial statements for all information listed Monthly IncomeMonthly ExpensesSocial Security$Car Insurance$Retirement Pension$Health Insurance$Veterans Pension$Prescriptions$Dividends$Physician Co-pays$Interest$Mortgage Payment$IRA/TDA/TSA$Outstanding Loans$Trust Funds$Long Term Care Insurance$Disability$Other Liabilities$Total Monthly Income$Total Monthly Expenses$ BANK ACCOUNTS Checking Accounts: Bank ________________________ Account #____________________ Balance $______________ Bank ________________________ Account #____________________ Balance $______________ Savings Accounts: Bank ________________________ Account #____________________ Balance $______________ Bank ________________________ Account #____________________ Balance $______________ Bank ________________________ Account #____________________ Balance $______________ Other Bank Accounts (cash deposits): Bank ________________________ Account #____________________ Balance $______________ Bank ________________________ Account #____________________ Balance $______________ Bank ________________________ Account #____________________ Balance $______________ Bank ________________________ Account #____________________ Balance $______________ Stock/Stock Funds/Bonds/Money Markets: Name/Address __________________________________________________Value_____________ Name/Address __________________________________________________Value_____________ Name/Address __________________________________________________Value_____________ Name/Address __________________________________________________Value_____________ Name/Address __________________________________________________Value_____________ Annuities: Name/Address __________________________________________________Value_____________ Name/Address __________________________________________________Value_____________ Life Insurance Policies: Name/Address _____________________________________________ Face Value_____________ Real Estate: Address_______________________________________________ Assessed Value____________ Trusts: Name/Address ________________________________________ Date Established ____/____/____ Burial Account: (Yes (No Has money, property or other assets been transferred from applicant within the past five (5) years? ( No ( Yes Please explain: _____________________________________________ Third Party Responsibility: If any other person will be responsible for paying a part or the entire monthly rent, all responsible parties must sign the admission agreement. 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