Downloads
Documents and forms for Pathway Geriatrics clients and caregivers
Accepted Insurances
This file includes a list of common primary insurances we do and don't accept. The list is not all-inclusive, so please call us if your insurance is not listed.
Intake Packet
This packet includes the forms necessary to request our services. Please be sure to fill out all the fields and sign where required. Also note that a copy of the front and back of your insurance cards should also be included.
Chronic Care Management Consent
This packet includes the forms necessary to consent to our Chronic Care Management (CCM) services. Please be sure to sign where required.
Physician Orders for Life-Sustaining Treatment (POLST)
The POLST is a set of medical orders intended to guide medical treatment based on a person’s current medical condition and goals.