Application Process

When you contact the admissions office you will be embraced by our staff. Your application and medical information will be reviewed to determine if we can meet your needs at Providence Extended Care and we will strive to provide you with a timely and respectful admission.

To apply for admission there are several forms that need to be completed. Some are completed by you and some need to go to your doctor for completion.

Please complete the following forms:

Take the following forms to your doctor for completion:

Please review the following documents:

For more information
To learn more on the admission process, please contact our admissions office at (907) 212-9259, Monday through Friday, 8 a.m. to 4 p.m. To find general information and specific health topics, visit our online health library.