INFO PAGE
Admission Forms
For instructions on completing and filing the forms below, contact the Laguna Honda Admission Office at 415-682-5683 or LHH.referral@sfdph.org.
Admission Application & House Rules
- LHH Admission Application (English)
- LHH Medicare Secondary Payer Form (English)
- LHH Dental Clinic Form (English)
- Laguna Honda Rules (English)
- Laguna Honda Rules (Chinese)
- Laguna Honda Rules (Spanish)
- Laguna Honda Rules (Tagalog)
- CDPH Standard Admission Agreement for Skilled Nursing Facilities and Intermediate Care Facilities (English)
- CDPH Standard Admission Agreement for Skilled Nursing Facilities and Intermediate Care Facilities (Chinese)
- CDPH Standard Admission Agreement for Skilled Nursing Facilities and Intermediate Care Facilities (Spanish)
Summary Notice of HIPAA Privacy Practices and Acknowledgement of Receipt
English | Chinese | Spanish | Tagalog | Vietnamese
Consent for Treatment
English | Chinese | Russian | Spanish | Tagalog | Vietnamese
Laguna Honda Hospital Brochures
Skilled Nursing Facilities Brochures
Laguna Honda provides short-term rehabilitation and long-term nursing care in a beautiful facility located in the heart of San Francisco. Our care teams work together to support your health and independence. Learn more by checking out our brochures.
English | Chinese | Russian | Spanish | Tagalog | Vietnamese | Korean
Acute Rehabilitation Brochures
Laguna Honda's experienced teams serve San Franciscans with illnesses or injuries who can benefit from intensive and comprehensive services. Our Acute Rehabilitation Program helps patients recovering from a range of conditions. Learn more by checking out our brochures.
English | Chinese | Russian | Spanish | Tagalog | Vietnamese | Korean