Request for Information

The Groves accepts residents on a non-discriminatory basis in accordance with provisions of Title VI of the Civil Rights Act of 1964, Section 504 Regulations, Rehabilitation Act, and Americans with Disabilities Act (ADA).

The Groves will not share the information collected on this page with anyone outside of The Groves.

Contact Person Information

Full Name:

Phone:

Address:

Email:

Relationship to Prospective Resident:

Prospective Resident Information

Full Name:

Phone:

Address:

Age:

MaleFemale
When will residency be needed?

Area(s) of Interest

Independent Living (Forest View Retirement Center)
Independent Living With Services (Upper Level White Oak Living Center)
Residential Care (Main Level White Oak Living Center)
Skilled Nursing (Rosewood Health Care Center)

How did you hear about The Groves?

Website
Relative/Friend/Neighbor
Church
Yellow Pages
Examiner
New Lifestyles
Centerpoint Medical Center
North Kansas City Hospital
St. Luke's Hospital
Research Hospital
The Kansas City Star
Other

Comments:

Antispam:

You will receive an email, to the email address you provide, that will give you further instruction to our pricing PDF. This will contain a username, password, and a link to the PDF.