Admission Application
There are currently two options for submitting an Application for Admission. The first option is to complete the online application below. We will call to fill in a few additional items after your online submission. Please note that the online application must be completed and submitted in one sitting and cannot be saved when partially completed.
The second option is to download and print a copy of the application, which can be faxed to our Admissions Department at 717-228-3695. If you choose this option, please click on the link below to download the Admission Application.
Download Admission Application
Online Admission Application:
Contact Us
Our administration offices are open Monday through Friday, 8:00 a.m. – 4:30 p.m.
Mailing Address:
Cedar Haven Healthcare Center
590 South 5th Avenue
Lebanon, PA 17042-9154