Dear prospective new residents, family members and assisting agencies:

Prior to move-in, we request that the Pre-Assessment Forms (page 1 and page 2) of the following attachment be completed and returned to us. 

This will expedite the process for all.

Please send by


     FAX to:   519-296-5715


     email and scan:

Click here to download the Pre-Assessment Form.

Thank you!

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© 2016 by Country Manor Estates  

66 Victoria Street, Thedford, ON CANADA.  NOM 2N0
~ ~ Tel: 519-296-4919
 An Ontario retirement home located in Thedford, Lambton county and serving areas including Sarnia and London, Ontario
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The  Country Manor Estates is a licensed Retirement Home and Assisted Living Facility.               © 2017 by DYNASTY RETIREMENT COMMUNITIES INC