Pre-Admission Inquiry Form

The preadmission form will help us a great deal in expediting the entire process. You may open it with either Microsoft Word (DOC) or Adobe Reader (PDF). Provided that you have the latest Adobe Acrobat Reader installed, the latter will allow you to fill the form electronically. After you are finished filling it out you can print/fax or email it to us.

Email Address: jcrabtree@hillcrestcares.com

Preadmission Form (Word Doc)

Preadmission Form (PDF)

Resources

Medicare: Are You a Hospital Inpatient or Outpatient?