Well and Fit ADHC

Eligibility:
1. Los Angeles County, San Bernardino County or Riverside County residents
2.Adult 18 years or older, Medi-Cal recipients or self-pay
3. Physically and/or cognitively impaired adults who require physical, mental care and monitoring or rehabilitative services due to debilitating illness
4. Isolated from social support system or lack of sufficient caregiver support
5.Hospitalization or ER visits within past 12 months

How to Apply:
1. We welcome you to come and visit us at the center. Please call front desk at 909-860-0061 and make visitation arrangement.
2. Please ask for Health and Physical Form and Application Form.
3. Please have your Primary Care Physician complete the required Health and Physical From. Please provide us with your medical diagnosis, past exam, surgery and/or hospitalization record for evaluation of your health status.
4. Please ask your Primary Care Physician for TB Test or X-ray report dated within one year of application time.
5. Please prepare copy of your Medi-Cal Card, Managed Care Plan Membership Card and photo ID (Green Card, Driver License or Passport), and provide your current address and phone number.
6. You can deliver the above information in person or fax it to us at Fax 909-860-6801 upon completion.
7. Center staff will follow up to contact you regarding your application process.