Pine Haven Christian Communities

Aerial view of the duplex neighborhood at Pine Haven's Oostburg Campus surrounded by green space and walking areas.

Independent Living Waitlist Form

Interested in one of our three independent living communities? Complete the form below to be added to our waitlist. A member of our team will reach out to answer your questions, discuss availability, and help you find the option that’s the best fit for you.

Contact

Information

General Inquiries

(920) 467-2401

Reception Hours

Monday – Friday 8:00 AM – 4:00 PM

Join The Waitlist

Independent Living Form
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Which living option are you interested in?
Privacy Notice

To protect your privacy, please do not include medical records, Social Security numbers, insurance information, financial information, or other sensitive personal details in this form. This form is intended for general inquiries only. A member of our team will contact you if additional information is needed.

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