Request for More Information

Please send me the following brochures (check all that apply)

Independent Living
Dock Acres Cottages
Dock Gardens Apartments
The Villas at Dock Woods
Dock Manor (For those who qualify for financial assistance through HUD)

Assisted Living
Dock Meadows (Hatfield)
Oakwood Court

Memory Support Centers/Nursing Care
Harmony House Assisted Living Dementia Care
Country Cottage Skilled Nursing Dementia Care
Dock Terrace Skilled Nursing Care

Please send me the following forms

Application/Application Fee Agreement Refund Schedule for Dock Acres, Dock Gardens and The Villas at Dock Woods Monthly Activities Calendar

Please give us background on your needs/describe your interest

Who is the information for

Name

Your Address

Salutation
Name
Address
City
State
ZIP
E-Mail Address

I would like someone to call me at (include area code)

How did you hear about Dock Woods Community? (check all that apply)

From a Friend
From a Dock Woods Resident
From My Family
From Someone on the Waiting List at Dock Woods
From a Dock Woods Employee
I Live in the Area
Church
Newspaper
Web Search Engine (please specify)
Other (please specify)