Ann's Choice
 Ann's Choice 

HAPPENING  TODAY

 4:00 PM - 6:00 PM: Dining Presents: Special Special Dessert Additions

5:00 PM - 7:00 PM

German Club

Summer Picnic

  Location: LC Club Room      

The 2017 Annual Report is now available for your review.  Click on Special Announcements.

We have some pictures from the recent golf outing.  Click here.

Our 2018 Olympic results are coming in.   We have the results and pictures from all events.    Click on the image

The pickle ball courts are almost ready.  Click on the image.

CHESTNUT POINTE

The bricks are going on now. (As of May 30, 2018).  Click on the image.

Buy/Sell/Want/Free

Check it often for new items. Hoveround, Car, truck, bed, power chair.   BUY/SELL

Want to laugh today? New sayings and cartoons, situations and funny pet pics. Humor to enjoy

CAMPUS FORMS

Forms in this area may be printed but should NOT be saved except on your personal computer.  After you have filled them out on line, print them.

Important 

In order to fill out these forms, Adobe Reader MUST be set as the default for PDF files. If you have convertedto Windows 10, be sure that Adobe readeer is the default for PDF files.

RAC Form

If you have an issue you wish to have our Resident Advisory Council look into, click on the icon below.

There are 3 ways you can handle it:  1.  Print the form, fill it out, and put it into one of the RAC Mailboxes, located in every clubhouse lobby;  2. Fill out the form on line, print it, and put it into a RAC Mailbox;  Or 3.  The easiest way is fill out on line, save it on your computer and send it as an attachment to an email to the RAC email address, racadvise@gmail.com.  In any case, they will respond. 

RAC Liaison Form
RAC referral (2).pdf
Adobe Acrobat document [496.3 KB]

Dining Forms

Dinner Guests - Payment
Use this form to pay for your Dinner Guests by check, cash or a charge to your monthly bill
Dinner Guests_Paid.pdf
Adobe Acrobat document [266.1 KB]
Dinner Guests - Flex
Use this form to pay for your Dinner Guests using Flex meals
Dinner Guests_Flex.pdf
Adobe Acrobat document [270.1 KB]
20 Meal Plan Election Form
Use this form to select the 20 Meal Plan. Fill out the form, print it out, sign it and turn it in.
20 Meal Plan Election Form.pdf
Adobe Acrobat document [692.1 KB]
Monthly Meal Plan Election Form
Use this form to change from the 20 Meal Plan back to the Monthly Meal Plan. Fill out the form, print it out, sign it and turn it in.
Monthly Meal Plan Election Form.pdf
Adobe Acrobat document [281.7 KB]
Staggered Monthly Meal Plan
Click here for a blank form to enroll in the Staggered Monthly Meal Plan. Fill out the form,print it out, sign it and submit it following the instructions included on the form.
Staggered Meal Plan.pdf
Adobe Acrobat document [104.3 KB]

Finance

These forms will contain sensitive personal data and should NOT be saved on a public computer. Instead, fill out the needed form, print it out and bring it to the finance area.

Authorized Withdrawal Form
Use this form to authorize Ann's Choice to withdraw funds directly from your account. Fill out the form. print it out. sign it and take it to the Finance area.
Authorized Withdrawal Form.pdf
Adobe Acrobat document [361.0 KB]

Medical Center

These forms will contain sensitive personal data and should NOT be saved on a publtc computer. Instead, fill out the form, print it out and bring it with you to your appointment.

Patient Questionnaire
Fill out this form when requested by the Medical Center
Patient Questionnaire.pdf
Adobe Acrobat document [401.3 KB]
Health Assessment
Fill out this form when requested by the Medical Center
Health Assessment.pdf
Adobe Acrobat document [2.9 MB]
Request for Records
Fill out this form to request records from a Hospital or doctor. Print it out. sign it and give it to the Medical Center
Request for Records .pdf
Adobe Acrobat document [214.9 KB]
New Patient Questionnaire
Use this form if you are a new patient
New Patient.pdf
Adobe Acrobat document [3.0 MB]

Security/General Services Forms

Visitor Bar Code
Click here for blank Visitor Bar Code request form
Visitor Barcode Forms 2017.pdf
Adobe Acrobat document [64.3 KB]
New Key Request Form
Click here for blank New Key Request Form
Key Request Slip 2017.pdf
Adobe Acrobat document [194.3 KB]
Gate Access Form (Resident Barcode Form)
Click here for blank Barcode Form
Resident barcode form.pdf
Adobe Acrobat document [295.0 KB]
Emergency Pendant Request Form
Click here for blank Emergency Pendant Request Form
New 2017 Emergency Pendant Install Reque[...]
Adobe Acrobat document [273.8 KB]

File of Life Form

File of Life Form
Click here to obtain a blank File of Life form.
File of Life.pdf
Adobe Acrobat document [613.9 KB]

Philanthropy Forms

Philanthropy forms
Use this form for Legacy Contributions
2017 Revised Legacy brochure and form.pd[...]
Adobe Acrobat document [855.0 KB]
Use this form to make a contribution
2017 charge my account form.pdf
Adobe Acrobat document [534.3 KB]
Use this form to send Honor or Memorial Cards
Honor and Memorial Card Form (2).pdf
Adobe Acrobat document [567.2 KB]
Use this form to register for RG volunteer participation
RG brochure recruitment form.pdf
Adobe Acrobat document [419.8 KB]
Use this form to report your Volunteer Hours
Volunteer Hours.pdf
Adobe Acrobat document [48.7 KB]

Resident Life Forms

Use this form to report Hospital Stays to Pastoral Ministries
Away Form.pdf
Adobe Acrobat document [686.7 KB]

Questions/Comments about this page - Contact Lou Maiorino at 215-674-2987

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