The purpose of the Standard Disclosure Form for Assisted Living (2 pages) is to provide information to residents and prospective residents of assisted living, residential care, and congregate housing programs. The form provides specific information about services offered by the housing entity in its base rate and the rates for those services. The form also lists other services available and the additional rates for those services.
The form is completed by the individual that the facility administrator designates. The form is not submitted to the state but is kept at the facility as the cover sheet for the residential services agreement. |
