Admission Documents

• Admission Requirements (PDF)
• Financial Responsibility Form (PDF)
• Resident Personal Data (PDF)
• Physician's Medication Orders (PDF)
• Physical Examination Form (PDF)
• Private Pay UAI Form (PDF)
• Physician's Oral Order for PRN Form (PDF)
• Public Pay UAI Form (PDF)

Related Sites

• James Madison on Wikipedia

"No nation could preserve its freedom in the midst of continual warfare."

"Knowledge will forever govern ignorance; and a people who mean to be their own governors must arm themselves with the power which knowledge gives."

"Of all the enemies of public liberty, war is perhaps the most to be dreaded, because it comprises and develops the germ of every other."

The Madison

Orange, VA

"Gracious lodging since 1928"

Contact Us

For more information about residency at The Madison:

• Call our Admission Coordinator at (724)4-THEPMI
• Email us at njordan@eltech.net
• Fax us at (540)518-9041