We have private and shared rooms available. Kindly fill out the assessment form below.
INITIAL ASSESSMENT FORM
Married
Single
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With Family/Friends
Shelter/Hospital
Homeless
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Yes
No
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SSI
SSDI
Other
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Yes
No
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Yes, I don't want to share a room
No, I can share a room
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As soon as possible
Within a month
Undecided
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