To initiate any of our service you will need to complete the Agreement forms (page 1 and 2) below. Just click on the title and the document will be displayed. You may save it to your computer or print it out. Once you have completed the paperwork, you may email it to
, fax it to 912-236-3030 or mail it to the attention of
Senior Citizens, Inc.
3025 Bull Street
Savannah, Georgia 31405.
Agreement for Private Pay (all pages are necessary)
Should you have any issues, questions or concerns, call 912-236-0363 (toll free 1-866-579-2116) or email
and we will be happy to assist you with the application process.