Lancashire Resident Visitation Request

Lancashire Resident Visitation Request
Your Name *

First Name Last Name
Phone Number *
Please enter a valid phone number.
Email *
If you do not have an email address, you may sign up for a free account at www.gmail.com
Resident Name *

First Name Last Name
Preferred Visit Type *

Zoom Video Call Regular Phone Call In-Person Visit (Outside) In-Person Visit (Inside)
Please Select Your Preferred Day and Time. Note: Resident Visits are 30 minutes. We block off an hour to provide our staff additional time to sanitize and facilitate returning residents back to their rooms. *
Please bring your vaccination card with you to your visit. You will be asked to present it when you check in.
Should be Empty: