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Registration Forms

In an effort to streamline the registration process, you can download the necessary forms, prior to your visit with us here at the Alpha Center.

 

Please sign the following three (3) forms and bring to your visit:

HIPAA POLICY

ENROLLMENT APPLICATION

CLIENT RIGHTS

You will need Adobe Reader in order to view our forms.  Most computers already have this installed, but if you do need it, you can download  for free and install it from here:

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TODAY

TO PLAN A VISIT

(765) 286-2800

OUR AWARDS

2012

President's Award

For Service Excellence

in providing seniors adult day services Presented in appreciation by LifeStream

 

2016

Certificate of Membership

Indiana Association of Adult Day Services

QUICK FACTS

  • Established in 1978 - 2nd oldest in the state
  • Non-profit organization
  • The area's only day service for the elderly
  • Community services offered, such as...

 

  • Blood Pressure checks
  • Nutritional, well-balanced meals served daily
  • City & county transportation

 

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(765) 286-2800

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