Fill Out the Gracedale Application Form
Download the admissions application below to start. If you have questions, contact us. The completed application can be returned to the Admissions Department by email, fax, or U.S. Postal Service.
Along with the application, Gracedale requests financial, medical and social information. We’ll contact you to schedule an appointment, and we’ll arrange a facility tour once the application is complete and all information is provided.
If an appropriate bed is not immediately available, the applicant’s name will be placed on our waiting list.