Thank
you for your interest in Dellridge Health and Rehabilitation
Center. We have provided our Application for Admission
and Financial Statement online for your convenience.
Reviewing
and completing it in advance will save you time. To
download and print the forms, click here.
Once completed forms can be faxed to us at: (201)
261-3164, mailed to our address as indicated
on the application, or dropped off in person. All information
will remain confidential, except for medical information
which may need to be reviewed with other departments.
Please feel free to contact our Admissions Director,
Susan Sosnicky at
(201) 265-5600 with any questions or concerns
you may have.