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Below you will find a variety of applications & forms required by New York State law.  The forms are available in Adobe Acrobat Reader 5 format.  This is a simply graphics format that allows you to download the form to your computer, complete it, and fax it back to our offices (845) 691-8460. 
 

Assisted Living Application

Click Here
   
Admission Agreement Click Here
   
Patient Bill of Rights Click Here
   



  Click the Adobe icon if you don't have Acrobat 5. If you have any problems or questions regarding the downloading of these applications, forms or Acrobat Reader 5, contact Mark Greiner @ Greiner Consulting (845) 462-3002 or via e-mail.
 


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PAZ Healthcare Management, Inc.
1 Main Street
Highland, New York  12528
Telephone: (800) 316-2084 | (845) 691-9692
Fax: (845) 691-8460
E-Mail: pazhealthcare@aol.com