Email :
Phone : (903) 628 5551

Forms Central

New Boston Skilled Nursing Home 210 RICE ST NEW BOSTON TEXAS

Forms Central

 Documents: Admission Agreement

The document details the agreement between the facility and resident or legal representative regarding their respective responsibilities.

File: Admission Agreement

 Documents: Application for Employment

Download, fill out, and send to facility if you want to apply for a position at New Boston Health Care. Applicants will be only considered for the current job openings.

File: Application for Employment

 Documents: Authorization to Manage Personal Funds

Full document title: Authorization to Hold, Safeguard, & Manage Personal Funds. A Policy on Protection of Resident Funds.

File: Authorization to Manage Personal Funds

 Documents: Audio-Visual Consent Waiver

Full document title: Consent for Use of Photographs, Audiovisual Recordings, Newsletters/Newsprint and Skin/Wound Documentation

File: Audio-Visual Consent Waiver

 Documents: Disallowed Items List

Full document title: Nursing Home List of Items Not Allowed in Resident Room (This list is not all inclusive).

File: Disallowed Items

 Documents: Do-Not-Resuscitate Order

Full document title: Out-Of-Hospital Do-Not-Resuscitate (OOH-DNR) Order.
This document is the original version as provided by the Texas Department of State Health Services. This document is a fillable PDF form (you can enter the data directly in the form on your computer and print it from there).

File: Do Not Resuscitate Order

 Documents: Nursing Home Checklist

Click the link below to pull up and print this important questionnaire. Use it when looking for a Long Term Care facility for your Loved One!

File: Nursing Home Checklist

 Documents: Palliative Care Form

The information provided on this form is to assist in documenting palliative care and services necessary for this resident. The care and services the resident receives should continue to meet standards of practice for nursing services, dietary services, social services, and any other care or services necessary for the resident to be in a safe and comfortable environment.

File: Palliative Care Form

 Documents: Power of Attorney

Full Document Title: Durable Power Of Attorney For Health Care.
Disclosure Statement concerning the Durable Power Of Attorney For Health Care

File: Power of Attorney

 Documents: Volunteeer Program Packet

This document consists of several forms to be completed before volunteering at Azalea Trail Nursing and Rehabilitation Center:
– Investigation for criminal convictions
– Statement of confidentiality
– Volunteer application
– Volunteer Inservice

File: Volunteer Packet