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

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.

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.

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.

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.

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.

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 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.

National Stroke Association Website

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