Living well. Feeling well. Staying well. That's what the Senior Advantage program at GW Hospital is all about.

Senior Advantage offers free and discounted services to help enhance the health and well-being of adults ages 65 and older.

Members are entitled to:

• Free hearing screening
• GW Physician Referral Service
• Health News Magazine
• Senior Advantage News Magazine
• Billing Counseling
• GWU Health Insurance Counseling Project (assistance with matters concerning Medicare and Medicaid)
• Notary services
• Courtesy visitor parking (one hour free each day during an inpatient hospital stay)
• Discounted services (prescriptions, cafeteria and gift shop)
• VIP inpatient privileges
• Medical support groups
• Special invitations

To enroll, please use the Senior Advantage application form on this page. Your information will be kept confidential.

Senior Advantage
Membership Enrollment Form

What type of membership would you like?
Individual $10 (one-time fee) Couple $15 (one-time fee)
Name:
Co-applicant Name:
Address:
City:	State:	ZIP:
Telephone:
Birth date(s):
Do you currently have Medicare?	Yes No
Co-applicant?	Yes No
Supplemental insurance co:
Co-applicant supplemental insurance co:
This is not an insurance plan of any type. To enroll in the program, all information must be completed in full. Please include a check or money order for your membership fee payable to: Senior Advantage at GW Hospital. Mail fee and enrollment form to: Senior Advantage Program The George Washington University Hospital 900 23rd Street, NW, Room G-2038 Washington, DC 20037 All information will remain confidential. If you have any questions about the Senior Advantage program, please call us at 202-715-4263. We're happy to hear from you!

900 23rd St., NW, Washington, DC 20037 (202) 715-4000