Apply for Residency at Riverside Assisted Living

We are dedicated to providing a welcoming, comfortable environment where every resident receives the personalized care they deserve. Our application process is simple and supportive, designed to help you or your loved one take the next step with confidence and clarity.

How to Apply

Whether you're seeking immediate placement or planning ahead, we’re here to guide you through every step. Please complete our Client Application Form below, or contact us directly for assistance.

Step 1: Fill Out the Application Form

Start by providing basic personal, medical, and contact information. This helps us understand your care needs and preferences.

Client Application

Your Personal Information

Client Name

First Last

Client Age

Does applicant have memory, elopement, wandering or behavioral needs?(Required)

Yes

Move in Time Frame(Required)

Immediate

Future/Waiting List

Who is Filling this out?

First Last

Your Email Address

Enter Email Confirm Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone

Best Time To Call You

When is the best time for us to reach you via telephone?

CAPTCHA

Step 2: Schedule a Consultation

Once we receive your application, a member of our admissions team will reach out to schedule a personal consultation. This can be in person, by phone, or via video—whichever is most convenient.

Step 3: Care Assessment & Next Steps

Our team will review your application and conduct a comprehensive care needs assessment to ensure we are the right fit for you or your loved one. From there, we’ll discuss room availability, services, and your move-in timeline.

Why Choose Us?

Compassionate, trained caregivers available 24/7

Comfortable, private and semi-private rooms

Individualized care plans

Engaging activities and social programs

Nutritious, chef-prepared meals

Safe, secure environment