Application form

To register an interest or to receive further information please complete an application form.

You can either lodge the application with Edgarley Assisted Living or make an appointment to see either the CEO or the DON for residential aged care and the CEO for independent units.

Application For Residency

  • DD slash MM slash YYYY
  • Max. file size: 32 MB.
  • Max. file size: 32 MB.
  • If you require further information, please phone Edgarley Assisted Living on 5581 1211 or email