Meth-Wick Community

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1224 13th Street NW
Cedar Rapids, IA 52405
Phone (319) 365-9171
Fax (319) 363-5312

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Please answer and submit the following form if you would like to receive our Meth-Wick Get Acquainted Packet. This packet of information will provide an overview of life at Meth-Wick, including styles of living, choice of building residences and resident activities. We look forward to hearing from you!

Name

Email Address

May we contact you?

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Address

City

State

ZIP

On who’s behalf are you inquiring?

Myself
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Which style of living are you/your friend/relative interested in? Select one.

	Independent Living
	Independence Plus (for independent seniors who prefer assistance with some daily tasks)
	Assisted Living
	Nursing Care or Dementia Care
	Not Sure