Admission Application

For your convenience, Lasata Care Campus has convenient ways you can submit you application for admissions. You can start by downloading a PDF admissions application and saving it to your computer, which you may fill out by hand or by typing in the fields.  Once you finish your application you can email it to the email address listed on the application.  You may also submit it via fax number, mail, or bringing your application to the facility.  Thank you for your interest in Lasata Senior Living Campus. 


Lasata Care Center


Lasata Care Center - Downloadable PDF Application
Downloadable Short-Term Application 
Downloadable Long-Term Application





Lasata Crossings


 Lasata Crossings - Downloadable PDF Application
Downloadable Application




Lasata Heights


 Lasata Heights - Downloadable PDF Application
 Downloadable Application