Admission & Discharge Forms

For instructions on completing and filing the forms below, please contact the Laguna Honda Admission Office at (415) 682-5683 or fax (415) 682-5689.

Admission Application & House Rules

REAL Posters

REAL Poster English | REAL Poster Chinese | REAL Poster Russian | REAL Poster Spanish |REAL Poster Tagalog | REAL Poster Vietnamese

Summary Notice of HIPAA Privacy Practices and Acknowledgement of Receipt

Chinese | English | Russian | Spanish | Tagalog | Vietnamese

Full Notice of HIPAA Privacy Rights

Chinese | English | Russian | Spanish | Tagalog | Vietnamese

Consent for Treatment

Chinese | English | Russian | Spanish | Tagalog | Vietnamese

Price Transparency: View Laguna Honda’s hospital pricing.  

Last updated September 23, 2024

Related

Services Provided at Laguna Honda Hospital
Laguna Honda Hospital Admission, Discharge, and Price Transparency
Visiting Laguna Honda Hospital

Guidelines for friends and family visiting a Laguna Honda resident.

Departments

Laguna Honda Hospital and Rehabilitation Center
Department of Public Health