Porcupine hills lodge

seniors housing in Claresholm, Alberta


Apply to become a PHL resident

Application for Accommodation


We will need information regarding the individual who would like to be apart of the PHL family.

Please fill out the following questions.

Current Housing - Do you live alone? *
Does your home meet your needs? *
Do you have family/friends living near by who are willing to provide support if necessary? *
Name/Address/Phone/Relationship Who you authorize to have your personal and medical information.
Medication Assistance is not provided by The Porcupine Hills Lodge; therefore, are you prepared to administer your own medication or have you arranged with a family member to do so?
Personal Assistance - *
Personal assistance with activities of daily living is not provided at the Porcupine Hills Lodge. Are you willing to accept a move to another facility should you require this assistance?
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