Required Documents for Enrollment

The First Step to Peace of mind is simple.

Getting your loved one enrolled at Senior Vista is easy. We've made the paperwork as simple as possible—just a few essential forms to ensure we can provide the best, safest care.

Three Simple Steps:

1️⃣ Download the forms below
2️⃣ Complete them at your convenience (we can help!)
3️⃣ Bring them to your scheduled tour or email them ahead of time

Have questions while filling out the forms? Call us at (954) 366-1212 and we'll walk you through it.

Download Required Forms

Senior Vista Initial Assessment

What It Is:

This form collects basic information about your loved one's health, daily needs, and care requirements. It helps us understand how we can best support them.

What You'll Need:

- Basic medical history

- Current medications and dosages

- Emergency contact information

- Any dietary restrictions or allergies

- Mobility and assistance needs

Time to Complete: 15-20 minutes

💡 Tip: Have your loved one's medication bottles handy when filling this out.

TB Skin Test

What It Is:
Florida state regulations require proof of a negative TB (tuberculosis) test for all adult day care participants. This form must be completed by a healthcare provider.

What You'll Need:
- Schedule a TB skin test with your loved one's doctor
- Have the doctor complete this form after the test
- Test must be current (within the past 12 months)

Time to Complete: 5 minutes (plus doctor appointment)

💡 Tip: Many pharmacies (CVS, Walgreens) offer TB tests- often faster than scheduling with a doctor.

Tops Application

What It Is:
If your loved one qualifies for Medicaid Long-Term Managed Care (LTMC), this application is required to process coverage through your Medicaid provider.

When You Need This:
- If you're using Medicaid to cover adult day care costs
- If you're unsure if you qualify for Medicaid

Don't Have Medicaid? You can skip this form if you're paying privately or using Long-Term Care Insurance.

Time to Complete: 20-30 minutes

💡 Need Help? We can assist you with Medicaid enrollment. Call (954) 366-1212 and we'll guide you through the process.

What Else You'll Need

In addition to the forms above, please bring the following to your enrollment meeting:

✅ Insurance Cards

- Medicaid card (if applicable)

- Long-Term Care Insurance policy information

- Medicare card (for reference)

✅ Identification

- Photo ID for your loved one (driver's license or state ID)

- Social Security card or number

✅ Medical Information

- List of current medications (or bring the bottles)

- Doctor's contact information

- Any advance directives or healthcare proxy documents

✅ Emergency Contacts

- Names, phone numbers, and relationship to participant

- At least 2 emergency contacts required

Don't have everything?

That's okay! We can work with you to gather what's needed. The most important thing is to schedule your tour and get started.

Need Help with the Forms?

We understand that paperwork can be overwhelming—especially when you're already stressed about finding care for your loved one.

We're here to Help:

📞 Call Us: (954) 366-1212

We can walk you through the forms over the phone or answer any questions.

✉️ Email Us: [email protected]

Send questions or completed forms anytime.

🏢 Come In Person: 2912 North State Road 7, Margate, FL

Schedule a tour and we'll help you complete the forms on-site.

🗣️ We Speak Your Language:

Our staff is fluent in English, Spanish, and Creole.

You're not alone in this process. We've helped hundreds of families navigate enrollment, Medicaid applications, and getting started. Let us make it easy for you.

Common Questions About Enrollment Documents

Q: Can I fill out forms during my tour?

A: Yes! If you prefer, you can complete the forms during your visit. We're happy to sit with you and answer questions as you go.

Q: What if my loved one doesn't have a recent TB test?

A: No problem. You can enroll first and provide the TB test results within the first week. We'll guide you on where to get tested quickly.

Q: Do I need a doctor's referral?

A: No, you don't need a formal doctor's referral to enroll. We just need basic medical information and the TB test.

Q: What if my loved one is on Medicaid but I don't have all the paperwork?

A: We can help! Call us at (954) 366-1212 and we'll assist you with Medicaid enrollment and paperwork. We work with families through this process regularly.