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Old-Age Home Admission Agreement

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  1. The home
  2. The resident
  3. Fees and care
  4. Signing

Step 1 of 4

The home

For example: Sukoon Senior Care Home

Address of the homeNeeded

For example: Sukoon Welfare Society, through its secretary Mr. A. Kumar

For example: Society registration no. 123 of 2019

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OLD-AGE HOME ADMISSION AGREEMENT

  1. 1. ADMISSION AND CARE
  1. 2. NOT A TENANCY AND NO PROPERTY TRANSFER

2.1 The Resident is a resident of the Home and not a tenant. The Resident has no right to any particular room beyond what this Agreement gives, and the Home may move the Resident to another room of the same kind for health or safety reasons after telling the Resident and the contact.
2.2 The Resident does not give the Home any property, gift, Will or power of attorney by this Agreement, and admission is not conditional on any of these. The Resident keeps full ownership of the Resident's own property and money.
2.3 The Resident may keep personal belongings in the room at the Resident's own risk, and the Home will take reasonable care of valuables handed to it against a written receipt.

  1. 3. FEES
  1. 4. VISITS AND FREEDOM

4.1 The Resident may meet family and friends at reasonable hours, use the telephone, and go out with family, and is free to choose the Resident's own doctor for second opinions.
4.2 The Resident will follow the Home's reasonable house rules, which the Home will give in writing, and will respect other residents and staff.

  1. 5. ENDING THE STAY

SIGNATURES

Witness 1 (name, address, signature): ____________________
Witness 2 (name, address, signature): ____________________

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