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Home
About
Calendar
Open Door
Respite Living with ADL
Community Resources
Volunteer Sign Up
Contact Us
Southern Harbor House
Donate
Home
About
Calendar
Open Door
Respite Living with ADL
Community Resources
Volunteer Sign Up
Contact Us
Donate

Apply Now

Resident application documents available below.

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Resident Pre-Application Form

  • Admission Policy

  • MaineCare Application

  • Release/Exchange of Information Form

    PDF to be signed.

  • Medical Summary Form

    PDF to be completed and signed by PCP.

  • Medical and Cognitive History Form

    PDF To be completed and signed by facility or PCP.

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12 Pulpit Harbor Road
North Haven, ME 04853

Phone: (207) 867-2345
Fax: (207) 863-5027

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