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Helping my sister transition from SNF therapy rehab to LTC and I've submitted her signed HIPAA form to the social worker authorizing me to request records. Are there admission papers to be signed at SNF when moved there for therapy after hospital stay? Or would the discharge paperwork from the hospital serve that purpose? Would the SNF also have a copy of discharge paperwork as part of my sister's medical records? My sister says she hasn't signed anything, and the SNF social worker says I would need to get that from the hospital (& I'm in the process of doing that now). I gave written request to SW for my sister's medical records 2 weeks ago but haven't received yet. I think in Maryland they have up to 21 days & I'll be checking on that later today. Thanks for assistance.

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Ask the facility. They are all different. If this SNF is anything like my brother's Rehab then there will be a raft of papers to sign. And the LTC will, yes, want the discharge papers, and the MD eval and will also have their own raft of papers to sign. This is often too much for an elder.
It is important that YOU nor anyone else sign your own name to papers.This would mean that you are responsible. So if you are not POA this is the time to do that if your elder is competent. As she is signing I assume that she is. Then you would sign for her using "her name" followed by "your name as POA".
Stay in touch with the Discharge planners and social workers in any facility and make them your instant best friend.
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I'm a bit confused.   Your sister is moving from SNF to LTC, and you're asking about admissions paper at the SNF?   If your sister is leaving a SNF, wouldn't she be signing admission and contractual obligation papers at the LTC facility?  I'm not criticizing you, just trying to focus on which admission papers might be appropriate.

Adding to Alva's explanation, in my experience the hospital faxed selected medical information to a rehab facility, but I'm not sure what papers would be faxed to LTC.   I would think though that in addition to hospital discharge and relevant papers, the SNF from which she's transferring would also be requested to provide data to the LTC.  I think you would have to request and deliver that data.

Either before, upon arrival, or afterwards, as Alva said, a "raft of papers" needs to be signed.   My only experience is with SNFs.   I either sat right in the Admin's office and read through every single paper, or got concurrence to read them at home and return them.   I had no hesitation to raise and discuss, and change issues, that I felt were inappropriate.   Sometimes I added that I had contract admin experience in my background to buttress my right to change selected provisions, some of which were inappropriate.

Of course I also got copies of the full package.

Alva's right about signatures.  I signed as "(my name), not individually but as proxy pursuant to DPOA dated ______________."

I freely admit I may have misunderstood the situation.  If so, please feel free to offer corrections.
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In my experience, the Hospital sends rehab paperwork listing the medication needed. Not sure if that includes what things were done during the hospital stay. More like discharge papers. The Rehab, upon admittance, examines the person from head to foot documenting anything they find, like a pressure sore.* The person admitted should have signed papers saying who will be responsible for payment when Medicare no longer pays the 100%. I would think the paperwork that Rehab gives LTC is the discharge papers.
If LTC wants her Hospital records all you sister needs to do is sign a form giving LTC permission to request it. You no way get involved. In my opinion you being on her HIPPA forms is limiting. You really need to be her POA.
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Thanks everyone for so much helpful information. I know it's a confusing question, seems to be the only way they come out of my head, lol, but mainly I guess I was trying to find out if the info I got from the SW was correct or not. And it probably wasn't, so I guess I knew the answer all along, so at this point it's neither here nor there. It's so frustrating, incredibly difficult to contact almost all the staff, and when I do it's either get the runaround or a wrong answer. I'm pushed way out of my comfort zone because I'm not assertive at all. My sister doesn't have any mental disorders that would be officially diagnosed, but it's like she has this super-power to tune out the world, is best way to describe it, which led to all these health problems. So if I ask her questions (like did you sign anything) she might say one thing, and then down the line in another discussion, she might tell me the opposite. I know I'm not explaining that right. And she could ask for records herself, she's capable brain-wise, it's the behavior-wise that's the struggle. So between my sister talking in circles, or giving me answers after the fact, and the SW and other staff doing a disappearing act, I'm spinning wheels trying to figure out how to help my sister the best way. I'm mainly her health point of contact with HIPAA authorizations, not formal health proxy, and my brother is her POA. I don't even know what I'm going to do with the info in her medical records, mainly for now I just want to get the access established & in place. Her 100 days of rehab ends next week & then will be private pay and LTC at same facility. 2 months of private pay, then Medicaid application, approval and then move to another facility. Months to go.
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