The Residence - Application for Residency

Dear Potential Resident:

Thank you for your interest in Foyer Lacombe. Potential residents are asked to complete an Application for Residency and a Medical Release of Information.

These forms are designed to assist us in helping you make your plans. We realize that many of the questions are of a personal nature; therefore we regard your answers as privileged communication and will treat them in a confidential matter. Please provide us with copies of physician’s reports, nurse’s notes or other documentation which will enable us to make an informed decision about our ability to provide you with safe and quality care.

After reviewing your completed application to determine that Foyer Lacombe is appropriate for you, we will be in contact with you.

Our Application for Residency (in PDF format) may be downloaded by clicking here.