Senior Advantage Application

If you and your spouse/partner are enrolling together, you must also submit the Senior Advantage Co-Application for your spouse or partner.

Print out this form and send a copy along with a check or money order ($10 for individuals, $15 for couples) payable to "Senior Advantage at GW Hospital" to:

Senior Advantage
George Washington University Hospital
900 23rd Street, NW
Washington, DC  20037

Your membership will become active once your payment has been received.

Complete The Application