Ready to Get Started?

To get your admissions process started, please complete the online form below. We’re looking forward to receiving your application!

Questions? Interested in scheduling a tour of our facility? Please call Sister Damian, D.M., our Director of Admissions at 717-755-1964.

NOTE: All fields marked with a RED asterisk are mandatory.

For your convenience, you can download, print, and complete the admissions application offline. When you are finished, submit your application via email to or via fax at 717-840-0010. 

You may also mail the application to Misericordia Nursing & Rehabilitation Center, ATTN: Admissions Director, 998 S. Russell Street, York, PA 17402

Step 1 of 7

  • Application for Admission

    Thank you for your interest in Admissions at Misericordia. Please complete the form below and we will be in contact with you shortly. All fields with a RED asterisk (*) are required. Thank you.
  • Personal Data