Adult Day Program Application

We are grateful for your interest in our Adult Day Program! We hope you will find our adults receive high quality care and attention for their physical and medical needs but most importantly also receive the compassion and encouragement needed for their emotional and social well-being.

Our adults have a full day specifically planned to cater to their individuality each day from 8 a.m. - 3 p.m. These activities vary from sessions in our sensory room, bingo and Wii tournaments, monthly outings, and painting classes, just to name a few.  We would love to meet you and give you a personal tour of our newly renovated facility.

We will just need a couple of things from you. Please take time to fill out the Adult Application, which can be completed online, or downloaded and returned to us via mail, email or fax.

Online

Click here to complete

By Mail

Click here to download the pdf

Therapy & Learning Center
32 Conrad Drive
Jackson, TN  38305 

By Fax

Click here to download the pdf

731-541-2941
Attention: Heidi Stockdale

By Email

Click here to download the pdf

heidi.stockdale@wth.org
 
If you have any further questions or concerns, please call 731-541-1430. 

NONDISCRIMINATION NOTICE STATEMENT
West Tennessee Healthcare (WTH) does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, national origin, age, religion, disability, Limited English Proficiency or sex, including discrimination based on gender identity, sexual orientation, sex stereotyping or pregnancy in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by WTH directly or through a contractor or any other entity with which WTH arranges to carry out its programs and activities.

For further information about this policy, contact Amy Garner (731) 541-9914.