Pre-Admission Forms
If you have already toured our property and would like to live at Magnolia Gardens, please print out the Checklist of Required Documents and the other forms listed below. Bring your documentation and completed forms to our office along with the required non-refundable $50 application fee. We will be happy to make copies of any original documents that you bring.
If you have any questions, please contact our Marketing Director, Jan Logemann, at 727-489-6447.
Checklist of Required Documents
1823 AHCA Medical Assessment Form
3008 Medicaid Medical Assessment Form
Residential Financial Responsibilities
Full Disclosure of Income, Assets & Trusts
Authorization for Use or Disclose of Protected Health Information (PHI)
Acknowledgement of Receipt of Notice of Privacy Practices
