Admission Procedures & Required Forms

We have 3 forms that are required for admission. You can click the "Download" button next to each to download to your computer.

1. Intake Assessment - to be filled out by caregiver: Download
2. Medical Form - to be filled out by Doctor's Office: Download
3. TB Test or Chest X-Ray Form - to be filled out by Doctor's Office: Download

The TB Test (OR) Chest X-Ray can be done with the Primary Care Physician or with no wait at a walk-in clinic. A walk in clinic would be a private pay expense. Here are a couple places to get it done:

• CareSpot Urgent Care of Coral Springs - (954) 780-8134
  • 1205 N University Dr, Coral Springs, FL 33071
  • TB Skin Test $39 (OR) Chest X-Ray $118
• Walking Urgent Care Coral Springs FL - (954) 231-0165
  • 10308 W Sample Rd, Coral Springs, FL 33065
  • TB Skin Test $59 (OR) Chest X-Ray $144

 

Other Funding Options

• Medicaid Long Term Managed Care Program (LTMC). Medicaid has a program called The Long Term Care Program which pays for Adult Day Care Services. The providers that we currently have contracts with are:
  • Simply HealthCare LTMC
  • Sunshine Health LTMC
  • Humana LTMC

 

• Long Term Care Insurance
  • We also accept Long Term Care Insurance Policies which pay for Adult Day Care Services (These are not Health insurance policies)

 

Transportation Options

Many of our participants use Broward County Tops Transportation. Tops is a Para-Transit Van company for the disabled. You can download the Tops application from Broward County Tops. Once approved, your loved one will be able to use Tops vans for door to door service to The Coral Springs Adult Day Care Center for $3.50 each way.

For those that are on the Medicaid Long Term Care Program, your loved one will receive free transportation from that specific program.