Apply for Admission

Use the online form below for admission applications for rehabilitation, long term care, specialized skilled nursing care, specialty care, respite care and hospice care.

If you have any questions about our online application, or would prefer to visit and fill out paperwork, please call 860-229-0336.

Admission Application
Below, please review and fill out Monsignor Bojnowski Manor’s online admission application form. As soon as you substantially complete and submit the form to the facility, your name may be placed on our waiting list for admission.

We accept the following insurances: Medicare, Medicaid, Aetna, Connecticare, Cigna, Blue Cross & United Health Care insurance.

You may click below to download and print or email our Long Term Care Admissions Application PDF and a member of The Manor will reply.

Contact Admissions

If you would like a tour, please fill out the form below or call us at (860) 229-0336.

Admission Application