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Adult Day Center

Participant Admission Agreement & Application

Thank you for your interest in St. Francis Adult Day Center at our ʻEwa Villages or Liliha campus. We offer a comfortable and secure group setting for older adults who may need some assistance and companionship during the day. This online application includes the following:


  • Participant Admission Agreement & Application


In addition to completing the above documentation, we also require the following attachments:

  • Client's Photo ID (required),

  • Client's COVID-19 vaccination card (required), and

  • Other legal documents (i.e., Advance Healthcare Directive, POLST)


Finally, the client's physician must also complete the following form:

  • Health & Physical Form (w/TB Document F)


We recommend having the client's physician complete this form prior to beginning your application as you will not be able to save your progress on this application.


Following review of your application, we will contact you to set up an interview. Should you have any questions or concerns, please call the St. Francis Adult Day Center Office at (808) 681-0100 ext. 2.

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St. Francis Healthcare System of Hawaiʻi is a ministry of Partners in Franciscan Ministries, sponsored by the Sisters of St. Francis of the Neumann Communities.

We're Here to Help
808-547-6500

2228 Liliha Street

Honolulu, HI 96817

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