Application Forms

To Apply As a Resident

  • Take a tour of the facility to check if we are a perfect fit for the applicant, then speak to the Admissions Coordinator to check for availability.
  • Get an application form and fill it up. Part of the application form (MEDICAL REPORT) needs to be completed by the applicant’s attending physician.
  • Submit the application form either via email, postal mail or fax.
  • After submitting the forms, call the Admissions Coordinator to state your intent to come to Villa Scalabrini as soon as a room is made available.

To take a tour of the facility please call Alicia Avila at (818) 768-6500 EXT. 216 or email [email protected]


Kindly download the forms below, fill them up, and send them to Villa Scalabrini. You may mail the completed forms to:

Villa Scalabrini, Attn: Admissions, 10631 Vinedale St., Sun Valley, CA 91352

Or you may fax the forms to (818) 768-0684


APPLICATION FORMS