#301, 4719 – 48TH AVENUE
RED DEER, AB T4N 3T1
PHONE: 403-343-1077
 

To apply for our programs, there are application packages that must be completed. The application may include the application form and a medical report, where as the supportive living application only includes the general application. These packages can be obtained by following the links, or we have copies at our office that can be picked up, mailed or faxed to your residence. The instructions for completing these applications are listed below.

 

 

LODGE:  The medical report is to be completed by your family physician and returned to us with the general application form along with a copy of your current tax notice of assessment.  The notice of assessment is for income verification to see if the applicant qualifies for subsidy.  The application package can be returned to us either by fax, mail or in person.

 

<Application - Lodge.pdf> 

 

SUPPORTIVE LIVING:  The supportive living application must be returned with the reference letter from the Alberta Health Services, stating that the applicant has been approved for this program.  Please contact Alberta Health Services as well as the Piper Creek Foundation for supportive living needs.

 

<Application - Supportive Living.pdf> 

 

After we have received the completed application package, one of our Lodge Managers will contact you (in 2 weeks time) to arrange for an assessment interview.  This interview will determine where the applicant will be placed on our wait list.  This is not a 1st come-1st serve basis.  Our wait list is based on an individual’s needs, which are determined by our point score system at the time of the interview.  The applicant’s name will then be added to our wait list and their position can be monitored by the applicant or family through the Foundation office.  The higher the score-the sooner the placement.

 

    SELF CONTAINED (APARTMENT LIVING): 

   The self contained application must be returned with the medical report which is to be completed by your family physician and returned to us with the general application form along with a copy of your current tax notice of assessment.  Our waitlist is based on an individual's needs, which are determined by our point score system after all the forms have been received. 

 

Application-Self Contained.pdf

    

   AFFORDABLE (APARTMENT LIVING):

  The affordable application must be returned with a copy of your current tax notice of assessment.

 

  Application - Affordable.pdf

 

 

 

AFFORDABLE HOUSING FOR SENIORS OF MODEST MEANS
TEXT SIZE: +A  -A