Application Form

Please click here to download the resident application form and upon completion, please mail or fax the form to the appropriate facility listed on the application form.

If you have any questions, please feel free to contact us at:

Andrea Grolemund Admissions Director 814-563-6400 andrea_grolemund@rouseestate.org

Deborah Ansell Admissions Coordinator 814-563-6499 deborah_ansell@rouseestate.org

Call our 24 hour Admission Hotline at 814-563-6500