Download Forms

This page contains various forms that are used to apply to different organizations in the community regarding the different services that dementia patients living at the Center or at home are entitled to.

The forms are in PDF format, which you will need Acrobat Reader to view.

If you do not have Acrobat Reader, you can download it for free here: https://get.adobe.com/reader/

  • Claiming Nursing Benefits Form

    This form is for women aged 60 and over and men aged 65 and over that live either at home or in sheltered housing. Individuals requiring assistance with daily activities such as bathing, dressing, eating, etc. are entitled to submit a claim for nursing benefits. Those found eligible will receive nursing services (through caregiver companies) and money. The claimant or his/her guardian (in the case of mentally compromised individuals) must complete the form and sign it. A physician that is familiar with the patient and his medical history must also sign the form. The form must be submitted to the National Insurance Institute branch in the claimant’s area of residence.

    Click here to download the form

  • Application for a permit to employ a foreign work

    An application to approve the employment of a foreign worker for individuals that are entitled to 150% Caregiver Law or that received approx. 4.5 tax credits at the ADL from the National Insurance Institute.

    Explicit instructions for completing the application are enclosed.

     Click here to download the form

  • Claiming Additional Nursing Benefits Form

    This form can be submitted only by individuals that are not receiving the maximum number of hours from the National Insurance Institute. This form requires the National Insurance Institute to reexamine the claimant’s eligibility in relation to his functional status, which has changed since the first claim, or which was incorrectly assessed from the beginning. This form also requires the claimant or his guardian to complete the form and have an attending physician sign it. The form must be submitted to the National Insurance Institute in the claimant’s area of residence.

     .Click here to download the form


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For more news and events visit our facebook page

A music and dance evening at the center

A music and dance evening will take place on the second Tuesday of every month, at 5:00 p.m., at the new cafe at the center. For updates, call: 03-5342221.

Lectures on different topics at the center

Lectures on various different topics pertaining to Alzheimer’s treatment will take place on the last Tuesday of every month, at 6:00 p.m. For updates, call: 03-5342221.


The center is currently constructing a new building, which will be able to admit an additional 100  Alzheimer patients in Israel, construction of a café for patients and their families, a lecture hall and clinics.

We are
fundraising for
several important
projects