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Our San Luis office is located at:

3165 S. Broad Street, Suite 114,
San Luis Obispo, CA 93401
(805) 545-5901, Fax (805) 545-5906.

Click Here For Directions

In Santa Barbara you'll find us at:

18 W. Micheltorena, Suite C
Santa Barbara, CA 93101,
(805) 963-6045, Fax (805)963-6046

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Resident Information
Assistance Needed:
   Full Assistance    Some Assistance    No Assistance
Taking Medications
Preparing Meals
Dressing
Shaving, Hair Care
Bathing or Showering
Toileting
Eating
Current Living Situation
Walking Ability
Memory Loss
*Time Frame  
Resident Age

Resident First Name
Resident Last Name
Address
Street
City
State
Zip
*Monthly Budget: Minimum
 		Maximum
Additional Information:
What circumstances or events have occurred causing you to consider a senior housing?
 

 

Community Preferences
Care Type Needed:
  Assisted Living
  Retirement Community
  Nursing Home
  Alzheimer's Nursing Home
  Alzheimer's Assisted Living
  Adult Family Home
  Home Care
  Not Sure
Apartment Size: 
Studio
One Bedroom
Two Bedroom
Companion
Amenities & Services: 
Community Outings
Full Kitchen
Mini Kitchen
Pets Allowed
Resident Parking
Smoking
Walk-in Shower

 

Your Contact Information
*First Name    
*Last Name   Relation to Resident
                           
*Home Phone   Your Mailing Address
Address
City 
State Zip
Work Phone
 
Example: 505-555-1212
*E-Mail  
*How did you hear about us?
               		   Check this box if you would like to receive brochures from facilities in your area.
 

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