Senior Advantage Application

IMPORTANT NOTICE: The George Washington University Hospital remains open and ready to serve our community. Please know that we are committed to taking every measure possible to keep our patients and employees safe during the COVID-19 pandemic.

As we focus many resources on these important efforts, the following are suspended at this time:

• Mailed paper applications
• Plant delivery for inpatients

We apologize for any inconvenience and thank you for your understanding.

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