T
hank you for your interest. To help us provide you with the most appro-priate information possible, please complete and submit the following form.
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Are you looking for:
Self
Husband
Wife
Mother
Father
Sister
Brother
Other
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For yourself—or the person for whom you are inquiring what best describes the current living situation:
Live in own home independently (not using home care services)
Live in own home and receiving home health care services
Live in a community for independent seniors
Live in an assisted living community
Live in a skilled nursing facility
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How soon do you think you will need senior living services?
Immediately
Within three months
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Within a year
Not sure - just gathering information
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Have comments or questions about The Parke?
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If you wish to receive an information packet by mail, please provide the following information.
First Name:
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Address 1:
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If you would prefer to receive a phone call from one of our representatives, please provide your phone number below.
Your Phone Number:
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you by phone?
7821 East Seventy-sixth Street | Tulsa, Oklahoma | 74133
(918) 249-1262 |
info@theparkeseniorliving.com
