•   2100 Outlet Center Drive Oxnard, CA 93036
  •   Call Us: 1-805-385-4180
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How to Enroll

Thank you for your interest in the Oxnard Family Circle’s unique Adult Day Health Care Program. To begin the enrollment process: You may print out the forms (below) and fill  them out before hand, also have your physician fill out, sign, date and return all required forms to us.

You are more than welcome to schedule a tour of our facility to make sure that this is the right place for your loved one. If you have any additional questions feel free to contact us and ask to speak to a social worker.

We are an adult day program that provides supervision, socialization and stimulating activities for your loved one, respite care during the day for caregivers all while ensuring your loved one is safe, secure, and that his or her needs are properly addressed.

ADP Medical Assessment

In the link below we have included the Adult Day Program Medical Assessment Form that can be printed and filled out prior to your visit.

Download (pdf,72kb)

Physician Authorization Form with release of information

In the link below we have included the needed forms for Adult Day Health Care enrollment.

Download (pdf,208kb)

VA Physician Authorization Form

If you are inquiring for a veteran,who is enrolled into the VA Healthcare System, you could use the forms below for enrollment.

Download (pdf,195kb)
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