Long-Term Care Forms

Swing Bed Notification Form

SNF Notification Form (online)

SNF Notification Form (printable) – Use only if PrimeWest Health provider portal is inaccesible 

Long-Term Care (LTC)/Skilled Nursing Facility (SNF) Private Room Request Form

SNF Benefit Admin – PrimeWest Health administrative use only

SNF Benefit Days Admin – PrimeWest Health administrative use only

PW_05-16_196
Updated_04/24/2026