The Participant Forms Starter Pack gives you the core templates needed to professionally enroll new participants into your Adult Day Care center. These forms are designed to capture all initial data accurately while meeting DHSS expectations for documentation. Each form is professionally formatted (fillable PDF + Word) so that you can begin using them immediately — without recreating anything from scratch. These documents support improved intake efficiency, better communication, and improved compliance outcomes. Ideal for new ADC programs or established centers updating outdated paperwork.

What’s Included:

● Participant Admission Application

● Admission Policy

● Medication Administration, Distribution, & Storage Policy

● Medication Summary

● Authorization for Field Trips/Pictures

● Statement of Participant’s Right

● Confidentiality Agreement

●  New Participant Start Up Checklist

●  Income Eligibility Form

● Emergency Procedure

● Participant Admission Log

● Admission Packet Cover Letter

● Participant Emergency Contact Form

● Participant Referral Log

●  Nursing & Functional Initial Assessment

● Medical Record/Physician Authorization

● Physician Cover Letter for Admission

●  Diet Request Form

● Authorization for Medical Release