Pre-Admission Form



Please provide the following information and hit the 'submit' button. If you have any questions or need any assistance, please call our admission staff at 813-261-5500.

  • Demographic Information

  • Date Format: MM slash DD slash YYYY
  • Financial Information

  • Reason for Skilled Nursing Center Placement

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Contact Information

  • Demographic Information

  • Date Format: MM slash DD slash YYYY
  • Financial Information

  • Reason for Skilled Nursing Center Placement

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Contact Information

REVIEWS

I still work here!
Jeff Lindroth
google
Lanier Rehabilitation Center is an amazing Skilled Nursing Facility with a phenomenal Rehab team. The Rehabilitation services provided are skilled and effective. The staff members are attentive and they genuinely care about their residents. Furthermore, the activities department is remarkable and works hard to keep the residents engaged and entertained daily! Go check out Lanier for yourself! It’ll be worth it!
Cheyenne Martin
google

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