Enroll online

The easiest way to enroll is online. Questions? Call our Enrollment team at 877-599-1039 or email Enrollment@BluestoneMD.com

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Become a patient today

Follow three easy steps below to enroll online. Once submitted, our team will reach out to you within five business days to confirm your enrollment.

1. Collect your enrollment documents

To streamline your enrollment, please collect your enrollment documents before you complete the online form:

  • Photo of your insurance card.
  • Medical Power of Attorney, Health Care Directive or Guardianship paperwork. 
  • If available, your past health records, including notes from four most recent provider visits, hospital discharges, labs and imaging within the last two years.
2. Complete our online enrollment form

Fill out this online enrollment form.

If you prefer to fill out paper forms, please ask your community for an enrollment folder.

Then, upload your completed forms to our secure portal.

Your community can also fax them to 1-855-306-1167. 

3. Upload your enrollment documents

Securely upload your enrollment documents.

Once submitted, our team will reach out to you within five business days to confirm your enrollment. 

Your community can also fax completed documents to 1-855-306-1167. 

Access an electronic copy of our privacy practices here.

Download printable enrollment forms

If you need more enrollment folders, please reach out to your Bluestone Senior Living Relationship Manager who can drop off additional copies.

Download printable forms here:

These are available in Spanish here:

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Find support for your family’s dementia journey

When dementia becomes part of your family’s story, trusted support matters. Submit your interest to share information that will help us determine your eligibility for Medicare’s GUIDE Model — Guiding an Improved Dementia Experience — delivered through Bluestone Dementia Care.