Admissions Process
Admissions
We appreciate your interest in Kirkhaven. In order for us to process an application, please:
REQUEST
Request a PRI (Patient Review Instrument) and Screen to be completed by a local nursing agency or hospital social worker and sent to Kirkhaven by fax (585-461-9160) or email.
COMPLETE
Complete an Application Form. Our financial worksheet is very straightforward and we do not require any additional documentation.
SUBMIT
Have the applicant’s primary care physician submit medical information by fax (585-461-9160) or email. A Release of Health Information Form can be filled out by the applicant, the applicant’s provider, or facility to enable Kirkhaven to obtain the pertinent medical records.
Every person’s medical needs are different. Once we receive all of the required forms, the application will be reviewed by our care team to determine if Kirkhaven can meet the applicant’s unique needs.
Print and fax applications to 585-461-9160, email khadmissions@kirkhaven.com, or mail to the following address:
254 Alexander St Rochester, NY 14607
