Application for Admission

To submit an Application for Admission to Bethany Lutheran Home or Bethany Heights click on the link below to print form and mail in using instructions.

After completing the printed document you can either mail it, fax it, or drop it off to the address below. Please specify on the envelope which facility you are applying for.
Bethany Lutheran Home / Bethany Heights
Attn. Application for Admission
7 Elliott Street
Council Bluffs, IA 51503
Phone: 712-329-5451
Fax: 712-329-4058

DocumentClick and Print Application for Admission
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