Milan Location

Hartford Location		Cortland Location

Toledo Location		Sandusky Location
About Us
Mission Statement
Locations
Concord Care and Rehabilitation Center
The Vista Centers for Behaviors
General Services
Customer Service
The Concord Care
Contact Us
Map
Employment Opportunities
Home		  

If you would like information about admitting a resident to one of the Concord Care Centers, contact us! You can reach us any time of day or night by calling our Facilities. Telephone numbers are provided on the "Locations" page. If you prefer, admission information can be obtained by completing the Placement Inquiry form below, and forwarding it to us as indicated at the bottom of the form. We are also available by e-mail at "concordcares@aol.com." We will respond to your electronic inquiry the next business day.



PLACEMENT INQUIRY

NAME DATE:
ADDRESS
CITY, STATE, ZIP
TELEPHONE
E-mail


FACILITY DESIRED (check one):
Cortland  Hartford  Milan  Sandusky  Toledo

RESIDENT INFORMATION
AGE OF RESIDENT   MALE    FEMALE

RESIDENT WILL BE ADMITTED FROM:

Home    Hospital    Other

PRIMARY PAYMENT SOURCE:

Private Pay    Medicare    Medicaid
Private Insurance    Other

SPECIFIC QUESTIONS OR COMMENTS

  

© Concord Care Centers