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PERSONAL NEEDS ACCOUNT REPLENISHMENT

Upon admission, families are required to sign a consent form enabling residents to
open up a Personal Needs Account (PNA). The form authorizes Daughters of Israel
to hold personal expense money for the residents.

Residents can access funds from their account at the Daughters of Israel Business office window,
10-11:30 a.m. on Monday through Friday. In addition, charges from the Beauty Parlor, Gift Shop,
theater tickets, etc. can be automatically deducted from the PNA.
Daughters of Israel provides an accounting of the PNA every three months.

To replenish a PNA account, please fill out the form below.

Please let us know your name.

Please give us a valid phone number!

Please let us know your email address.

Please enter your address.

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