- [view] Admission Agreement
- [view] Functional Capability Assessment
- [view] Identification and Emergency
- [view] Medical Exam Consent 1
- [view] Medical Exam Consent 2
- [view] Medical Exam Consent 3
- [view] Needs and Service Plan
- [view] Personal Property and Valuables
- [view] Personal Rights
- [view] Physician Report ARF
- [view] Resident Appraisal RCFE
- [view] Weight Record
Downloadable Client Admission Forms
Vila Victoria Inc (adults ages 18-59 years old )
64/68 South 10th street San Jose Ca. 95112
( 32 beds) All Males
Tel: 408-293-8166
FAX: (408) 947-1923
licensed #435202471
393 E. San Fernando street San Jose Ca. 95112
( 23 beds ) COED
Tel: 408-271-9244
FAX: (408) 947-1923
licensed #435202473
144 North 5th, street San Jose Ca. 95112
( 42 beds ) All Males
Tel: 408-293-4275
FAX: (408) 947-1923
licensed #435202500
Luxury Vila Inc. (adults ages 18-59 years old)
7/41 South 11th street San Jose Ca. 95112
( 39 beds ) COED ages 18-59 years old
Tel: 408-286-8900
FAX: (408) 947-1923
licensed #435202472
51 Lewis Road San Jose Ca. 95112
( 30 beds ) co-ed
Tel: 408-992-5609
FAX: (408) 947-1923
licensed #435202470
Vila Monte Inc. (older adults ages 60++ years old)
17090 Peak Ave Morgan Hill Ca. 95037 (28 beds)
(Soon to be 99-beds in process) COED
Tel: 408-500-2693
FAX: (408) 776-0390
licensed #435202509