A Place for seniors is a mid west health care and placement service company dedicated to serving the fastest growing population of our communities, our senior population.

A place for seniors provides placement services and recommendations to clients after they have been thoroughly screened and assessed by qualified by staff members. Our staff consists of dedicated nurses who are trained in assessing the needs of our clients. Every individual we serve has their own unique set of circumstances. Our job is to ensure that this client are matched up with the best facility to handle those needs.

A place for seniors would like to include your facility in our growing database of referral sources. We are located and specialized in the Kansas City metropolitan and surrounding areas.

After your application has been reviewed and processed you will officially become an associate of our network. At that time we will begin to send you appropriate referrals. If one of our clients complete a move into your facility the cost to you would be a one time fee of half the first months room and board. We do not charge any fee to sign on or bind you to any contracts. There is no obligation to us if you do not admit a referral.

We would be happy to visit your facility and be delighted to partner with you in providing better living for our seniors.

Please fill this form to become an associate or

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*Name:	Title:
*Facility Name:
*Address
*City:	*State:
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*Zip	*Email
*Phone:	Fax:
Type of facility (check all that apply)
Assisted Living: Skilled Nursing/Rehab: Independent Living: Long Term Care: Memory Care: Retirement Community:
Other Amenities and Services
Respite care provided Pets allowed 24hr licensed Nursing Beauty Shop PT/OT/ST available: Fine Dining: Resident activities provided: Religious services: Computer room: Transportation: Resident parking: Smoking Allowed: Exercise/Gym room:
Types of funding accepted
Private Pay only : Medicare: Medicaid: Long Term Care:
Types of rooms
Studio: 1 Bedroom : 2 Bedroom : Shared Rooms :
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