Admission Application

To be considered for residence, the applicant must complete all pertinent sections of this online application below (or download a hardcopy), include all required information included and submit. You can also download the form as a PDF and complete all pertinent sections offline, sign and date the application, and return it to:

Dave Anderson, Administrator
10 Heaton Street, Montpelier, VT 05602
danderson@livingwellgroup.org

If assistance is needed in completing this application, please call 802-223-1157.

If the applicant has a guardian, the application must be signed by the guardian. Admission cannot be completed without a copy of the court order appointing the guardian.