This information was taken from here.
The following documents should be submitted to Selah Management for new resident accounts or as changes are made to existing resident accounts.
New Resident Info Sheet – This document should be submitted with as much information as possible. There may be times the document is submitted with only the name and community fee amount. In this case, the form should be resubmitted at the time of move in, when the resident has provided the facility with the remaining information. Please note: Deposits made for community fees, rental fees etc., cannot be processed if we have not received any resident information.
DOWNLOAD HEREResident In-House Change Form – This document should be submitted as changes in billing are made to resident accounts. Proration Methods and instructions are provided to assist in determining rates on partial months.
DOWNLOAD HEREResident Discharge Form – This document should be submitted upon discharge of a resident. The prorated rate line is for the month the resident is discharged. If the resident is discharged before the last day of a month, the billing may need to be adjusted to reflect this prorated amount.
DOWNLOAD HERERespite/Daycare Stay Form – This document should be submitted for respite residents or daycare residents. The billing will only reflect the information submitted. The form should be resubmitted for additional days of stay not reflected on the original form. The portion for daycare should be submitted every Friday for the week prior. Again, deposits can only be posted to billing we are aware of.
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These forms will not fit every situation. Use the lines provided to write in as much information as possible. There will be times that additional information must be written in the margins. We ask that you write neatly as these forms are reviewed both in facility and here in the home office.