Assisted Living Residences Forms

These forms are directly related to the registration and operation of assisted living residences through the Assisted Living Registry.

Assisted Living Registry Forms

Form # Form Name and Information

1620

Note: New Registrants, if posting the physical address of an assisted living residence publicly on a website would present a risk to the health and safety of the residents living at that residence, please submit an Application for Exemption form (HLTH 1627).

1622