Hier können Sie online und ganz bequem Schritt für Schritt die Aufnahme in unser Haus am Seltenbach beantragen.
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Unterlagen zur Aufnahme
Mit dem Aufnahmeantrag folgende Unterlagen mitbringen oder schicken (Kopie reicht)
- General/Vorsorgevollmacht oder Betreuerausweis
- Patientenverfügung
- Einstufungsbescheid
- Pflegegrad
- Krankenversichertenkarte
- Personalausweis
- Impfausweis
- Ausgefüllten palliativ Bogen mit dem Hausarzt (wenn möglich)
- Ärztlicher Fragebogen
- Arztbrief/ Krankenhausbericht falls vorhanden
- Unterschriebene Empfangsbestätigung der vorvertraglichen Informationen
Hier finden Sie weitere Formulare die Sie gerne schon ausgefüllt zum Erstgespräch mitbringen können.
