Before You Use these Forms

Please visit our Registration page to ensure you have completed the annual enrollment and master medical forms and selected your program sessions and dates.

Need to update your annual forms?

Stepping Stones requires the Participant Application and Master Medical forms to be updated yearly. These forms may be mailed, faxed or emailed to Client Services.

ANNUAL PARTICIPANT APPLICATION (Recreation Programs)

ANNUAL ADULT DAY SERVICES APPLICATION 

ANNUAL MASTER MEDICAL (To be Signed By Physician)

Already Registered?

PRIVATE PAY:
If you are paying for services at Stepping Stones privately, please review the payment arrangement form(s) below: 

• Fall/Winter/Spring 2020-2021 Recreation Program Private Pay Agreement (Saturday Clubs) 

• Adult Day Services Program Handbook
• Weekend Recreation Program Handbook (Saturday Clubs)

HEALTH AND MEDICATION FORM
Will your participant be taking medication while at Stepping Stones? Please complete an additional medical form below to help prepare our nursing staff for your loved one’s time at Stepping Stones.  

• Overnight Health and Med Record : List all medications your participant will be taking while at Stepping Stones, including dose, distribution times and other important details. This form helps our Nurses keep your participant up to date on medications.
• Sample Form: Please review this sample form to help guide you in completing the above Overnight Health & Med Record. 

OVERNIGHT PACKING LISTS
To help you prepare for your participant’s stay at Stepping Stones, please choose the appropriate packing list below. This list includes all of the items your loved one will need during his/her stay with us. Please bring this form with you to check-in to help our staff keep inventory of personal belongings. 

• Weekend Respite – One or Two-Night Packing List