Rouse Estate Admission Application

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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

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GENERAL QUESTIONS: 814-563-7565
ADMISSIONS: 814-563-6500

Every donation made, no matter what size, will help improve the quality of life for our residents. As a 501(c)3 organization, we rely on the generosity of the community and appreciate your kindness. All donations are tax-deductible.

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