Participant Admission Agreement Sample Contracts

St. Francis Adult Day Center
Participant Admission Agreement • January 12th, 2016

Thank you for your interest in St. Francis Adult Day Center at the St. Francis Intergenerational Center in Ewa Villages. We offer a comfortable and secure group setting for older adults who may need some assistance and companionship during the day. As requested, enclosed is an application packet with the following:

PARTICIPANT ADMISSION AGREEMENT AND APPLICATION
Participant Admission Agreement • October 11th, 2017

The Franciscan Adult Day Center (FADC) provides a therapeutic, social, educational, and recreational adult day care program certified by the Department of Human Services, State of Hawaii. The program operates Monday through Friday from 7:00 a.m. to 5:00 p.m. and is located at 2715 Pamoa Road, Honolulu, Hawaii 96822 within the Sisters of St. Francis Convent complex. The program is part of the St. Francis Healthcare System of Hawaii.

Participant Admission Agreement and Application
Participant Admission Agreement • June 6th, 2013

St. Francis Adult Day Center provides a therapeutic, social, educational, and recreational adult day care program certified by the Department of Human Services, State of Hawaii. The program operates Monday through Friday from 6:30 a.m. to 5:30 p.m. and is located in the St. Francis Intergenerational Center at 91-1758 Oohao Street, Ewa Beach, HI 96706. St. Francis Adult Day Center is a program of St. Francis Healthcare System of Hawaii.