To apply:
Wait to receive email or a phone call from our office to arrange assessment.
Current wait time: 18-24 months
Our office will call to confirm current information on file remains current and determine if you are interested in remaining on the waitlist.
Additional forms will be requested when notified that you are eligible for the assessment:
Advanced Healthcare Directive (must be witnessed by two non-family members)
LIC602 Physician’s Report (to be completed by the resident/resident's responsible person; must be signed by a physician and sent to our office)
LIC603 Facility Report (required for current Assisted Living Facility residents, This information may be obtained from the applicant, or his/her authorized representative. (Relatives, social agencies, hospital or physician may assist the applicant in completing this form.) This form is not a substitute for the Physician’s Report (LIC 602).)