For More Information:

We would be happy to answer any questions you may have and provide you and your family with the information you need to make the senior living choice that’s right for you. In order to help us respond to your request promptly and accurately, please provide us with the following information:

Name
Address
City
State
Zip
Telephone
Fax
E-Mail

Please tell us how you learned about St. Columban’s on the Lake:
	Physician or professional referral
	Personal referral
	St. Columban’s resident
	Print Ad
	TV Commercial
	Trade Show/Community Event
	Internet
	Other (please specify)


I am interested in: (select all that apply)
	Receiving printed information on St. Columban’s
	Speaking to a St. Columban’s representative
	Arranging a visit to see St. Columban’s
	Receiving a current rate schedule*
	Other (please specify)


The requested information is intended for:
	Myself
	Spouse
	Parent
	Other (please specify)

Questions or comments:

*Admissions & Rates

A completed application form, personal interview, and medical examination
are required for the admissions procedure. Financial arrangements are
discussed at the time of the personal interview. Rates vary according to the
accommodations and there are many options available to fit every budget.
For more information, please call 716-934-4515.

About the Columban Sisters


	St. Columban’s on the Lake Retirement Home 2546 Lake Road Silver Creek, New York 14136 Telephone: 716-934-4515 Fax: 716-934-3919 email: info@stcolumbanshome.org Equal Housing Opportunity