Forms & Information

Forms Instructions

Admissions packet

If you or a loved one is being admitted to Providence Benedictine Nursing Center, please print, complete and return these forms to us.

Proprietary Health Article

Healthy Aging: Tips for staying well and happy in later years

The term "aging" often is associated with an assumed decline in physical and mental health, as well as in overall quality of life. Many of us cross our fingers and hope we’ll be among the lucky few who maintain strength, mental acuity and independence later in life – not realizing that the course of our later years is largely up to us.

Recommended Resource

U.S. Pharmacopeia

The United States Pharmacopeia (USP) is a non–governmental, official public standards–setting authority for prescription and over–the–counter medicines and other healthcare products manufactured or sold in the United States. USP also sets widely recognized standards for food ingredients and dietary supplements. USP sets standards for the quality, purity, strength, and consistency of these products–critical to the public health. USP's standards are recognized and used in more than 130 countries around the globe. These standards have helped to ensure public health throughout the world for close to 200 years.

iSafetyNet

Locating community resources and services on the web can be a difficult task consideringthe staggering amount of information search engines return. That is why we developed iSafetyNet, the first and only comprehensive directory of both public and private community resources and services.

Oregon Department of Human Services, Seniors and People with Disabilities

Services to seniors and people with physical disabilities focus on supporting peoples' needs to meet fundamental activities of daily living (ADL) such as bathing, dressing, mobility, cognition, eating and personal hygiene. Long-term services ensure that the person is living in a safe and healthy environment that promotes choice, independence and dignity. Services can be provided in nursing facilities, in community settings such as residential care facilities and foster homes, or in the person's own home.

RealAge.com Live Life to the Youngest

All information that carries the RealAge name has been developed by our team of experts, which includes physicians, epidemiologists, and medical writers who research the latest findings published in peer-reviewed medical and science journals. All RealAge content is held up to stringent scientific review.

Medicare.gov

The official U.S. Government site for Medicare

Medicare.gov Nursing Home Compare

Welcome to Nursing Home Compare. This tool has detailed information about every Medicare and Medicaid-certified nursing home in the country. Before you get started, you or your family member may have other long-term care choices like community-based services, home care, or assisted living depending on your needs and resources.

Medline Plus Drug Information

Learn about your prescription drugs and over-the-counter medicines. Includes side effects, dosage, special precautions and more. Browse dietary supplements and herbal remedies to learn about their effectiveness, usual dosage and drug interactions.

State of Oregon: Senior Health Insurance Benefits Assistance Program

Navigating Medicare can be confusing. To find out about your Medicare insurance options, contact the Senior Health Insurance Benefits Assistance (SHIBA) program. Our volunteer counselors provide one-on-one counseling and assist with appeals or insurance complaints.

The Merck Manual of Geriatrics

3rd Edition, Updated Online
Selected topics in this online version have been updated since the last printing of the book in 2000. Topics that have been updated are now dated in the bottom right corner.

Department of Health and Human Services Administration on Aging

Vision
In order to serve a growing senior population, AoA envisions ensuring the continuation of a vibrant aging services network at State, Territory, local and Tribal levels through funding of lower-cost, non-medical services and supports that provide the means by which many more seniors can maintain their independence.

Mission
The mission of AoA is to develop a comprehensive, coordinated and cost-effective system of home and community-based services that helps elderly individuals maintain their health and independence in their homes and communities.

Depression and Aging Information at the Geriatric Mental Health Foundation

The Geriatric Mental Health Foundation was established by the American Association for Geriatric Psychiatry to raise awareness of psychiatric and mental health disorders affecting the elderly, eliminate the stigma of mental illness and treatment, promote healthy aging strategies, and increase access to quality mental health care for the elderly.

Geriatrics

Geriatrics provides practical, peer-reviewed, evidence-based clinical guidance to time-pressed primary care clinicians and long-term care professionals who manage the health care needs of mature and older adults.

Geriatrics at Your Fingertips

Geriatrics At Your Fingertips, your free online guide to the evaluation and management of geriatric diseases and disorders, from the American Geriatrics Society.

Benefits CheckUp -- A service of the National Council on Aging

Get all the benefits you deserve. Find and enroll in federal, state, local and private programs that help pay for prescription drugs, utility bills, meals, health care and other needs.

American Geriatrics Society

The American Geriatrics Society (AGS) is a not-for-profit organization of over 6,400 health professionals devoted to improving the health, independence and quality of life of all older people. The Society provides leadership to healthcare professionals, policy makers and the public by implementing and advocating for programs in patient care, research, professional and public education, and public policy.

AARP

We are a nonprofit, nonpartisan membership organization that helps people 50 and over improve the quality of their lives.

Alzheimer's Association

The Alzheimer's Association is the leading, global voluntary health organization in Alzheimer care and support, and the largest private, nonprofit funder of Alzheimer research.  Our vision is a world without Alzheimer’s, and since our founding in 1980, we have moved toward this goal by advancing research and providing support, information and education to those affected by Alzheimer’s and related dementias.

Arthritis Foundation

The Arthritis Foundation is the only national not-for-profit organization that supports the more than 100 types of arthritis and related conditions.  Founded in 1948, with headquarters in Atlanta, the Arthritis Foundation has multiple service points located throughout the country. The Arthritis Foundation is the largest private, not-for-profit contributor to arthritis research in the world, funding more than $380 million in research grants since 1948. The foundation helps people take control of arthritis by providing public health education; pursuing public policy and legislation; and conducting evidence-based programs to improve the quality of life for those living with arthritis.

Eldercare Locator

Welcome to the Eldercare Locator, a public service of the U.S. Administration on Aging. The Eldercare Locator is your first step for finding local agencies, in every U.S. community, that can help older persons and their families access home and community-based services like transportation, meals, home care and caregiver support services.

Financial Caregiving: A survival guide

When loved ones are ill, your first thought is to take care of them and that often includes assisting with their finances. Here's advice on how to prevent and deal with potential money problems, even from a distance.

Family Caregiver Alliance

Founded in 1977, Family Caregiver Alliance was the first community-based nonprofit organization in the country to address the needs of families and friends providing long-term care at home. Long recognized as a pioneer in health services, FCA now offers programs at national, state and local levels to support and sustain caregivers.

National Stroke Association Website

Comprehensive overview of stroke, including warning signs, emergency stroke center locations and patient education resources.

National Association of Professional Geriatric Care Managers

Advancing professional geriatric care management through education, collaboration, and leadership.

National Osteoporosis Foundation

The National Osteoporosis Foundation (NOF) is the leading consumer and community-focused health organization dedicated to the prevention of osteoporosis and broken bones, the promotion of strong bones for life and the reduction of human suffering through programs of public and clinician awareness, education, advocacy and research.

National Parkinson Foundation

Since its inception more than 50 years ago, the National Parkinson Foundation has worked to address the unmet needs in Parkinson's care and treatment. In 2010 and beyond, NPF works every day to improve the quality of Parkinson's care through research, education and outreach. We believe by working together, we can improve the quality of care for every person diagnosed with Parkinson's disease.

National Family Caregivers Association

The National Family Caregivers Association educates, supports, empowers and speaks up for the more than 65 million Americans who care for loved ones with a chronic illness or disability or the frailties of old age. NFCA reaches across the boundaries of diagnoses, relationships and life stages to help transform family caregivers' lives by removing barriers to health and well being.