Get Ehatare Nursing Home

Filling out the Ehatare Nursing Home application online is a straightforward process that ensures all necessary information is captured effectively. This guide will walk you through each section and field of the form, helping you complete your application with confidence.

Follow the steps to complete your application seamlessly.

1. Click ‘Get Form’ button to access the application document and open it in the editor.
2. Begin by entering the date of your application in the specified field.
3. Indicate your preferred occupancy type by selecting either single or double occupancy.
4. Fill in your surname and first name in the respective fields to identify yourself.
5. Provide your present address, including city or town and postal code.
6. Enter your telephone number to enable contact.
7. Record your date of birth and marital status accordingly.
8. List your age and citizenship in the appropriate spaces.
9. Mention your religion and Social Insurance Number for identification purposes.
10. Input your Ontario Health Card Number to assist with health-related documentation.
11. If applicable, indicate yes or no regarding being on a special diet and provide details if you answered yes.
12. In the income information section, list all sources of income along with the monthly amount for each.
13. Provide the name of your bank and its branch for financial information.
14. Enter the name of your power of attorney and testament executor, along with their telephone numbers.
15. Specify who will finance your maintenance and their contact number.
16. Identify who should be notified in case of an emergency and provide their telephone number.
17. Detail two closest relatives by entering their names, addresses, and telephone numbers.
18. Read and acknowledge the statement regarding responsibility for articles and cash, as well as the conditions for transfer in case of deteriorating health.
19. After reviewing all the information, save your changes and proceed to download, print, or share the application form as needed.

Start your application online today and ensure a smooth transition to the Ehatare Nursing Home.