This topic is divided into two sections. The first is legal documents you should provide to the adult medical day center. The second is legal documents prepared by the center that you will be asked to sign.
Documents You Should Provide to the Center
Documents Related to Decision-Making
If any of the following documents have been completed for your older relative, provide a copy of each to the nurse or social worker:
- Financial Power of Attorney: The person named in this document is responsible for handling only the person's financial affairs described in the document (this may include payment of bills) if the patient is unable, or does not wish, to do so.
- Advance Directives: These documents allow a person to make health care decisions in advance, so that those decisions may be carried out in the event that the person is no longer able to give informed consent. The advance directive may specify the type of care the person wants, and/or it may name another individual to give informed consent for medical treatment.
- Order for Guardianship of the Person: This document indicates who was appointed to make medical decisions for a person who was determined by the court to be “disabled” and therefore unable to give informed consent for medical decisions.
- Order for Guardianship of Property: This document indicates who was appointed to make financial decisions for a person who was determined by the court to be be “disabled” and therefore unable to make financial decisions.
- Do Not Resuscitate (DNR) Order: This document states that the person does not want to be revived if cardiac arrest occurs or if the person stops breathing.
Other Documents and Information
- Health insurance information
- Emergency contact information
- Any medical information not included in the Physical Assessment, such as a list of allergies
The adult medical day center will prepare a contract outlining the center's responsibilities and the participant's responsibilities. The contract will include, at a minimum:
- Days of attendance
- Daily rate for services
- Services to be provided
- Hours of operation
- Information about an individualized plan of care
- Names of persons signing the document
- Date it was signed
Documents You will be Asked to Sign
It is important that the appropriate person sign the documents listed below. Additional information not listed below may be included in the contract or may be provided separately.
- Information about emergency treatment at a nearby hospital
- Billing procedures
- Discharge criteria
- Procedures for providing medication for use at the center
- A statement about bringing valuables to the center
- Inclement weather policy—closures and notification information
- Names and contact information for emergency contact persons
- Release of Information forms
- Authorization to have photographs taken
- Consent to transport to an emergency room
- Consent to go on trips
- Grievance policy
Be certain you are given a copy of every document you have signed so that you may retain these for your records.
- If the participant is capable of understanding the documents and there is no legal decision maker (power of attorney or guardian) to sign, the participant is the appropriate person.
- If a family member or friend has informally agreed to pay bills for the participant, he or she should sign the forms pertaining to payment of bills.
- If the participant is not capable of understanding the documents and there is a formal arrangement for decision-making (power of attorney or guardian), the power of attorney or guardian should sign the documents.
- If the participant is not capable of understanding the documents and there is no power of attorney or guardian, the surrogate decision maker identified under Maryland law should sign the documents.
Documents Related to Care or Treatment of the Participant
- If there is a guardian of person, that individual should sign the documents.
- If there is no guardian of person, the participant should sign if they are capable of understanding the documents. If not, the surrogate decision-maker identified under Maryland law may be asked to sign.
For information about wills, estates and probate or to learn how to register a will, the Maryland Register of Wills offers information and links to local registers.