Resident Application Forms

Resident Application Instructions

  • To be considered for residency, please complete the Residential Housing Application, which includes the Psychiatric Evaluation, General Practitioner Medical Form, and Applicant Income Form.

  • The Health Care Proxy Form is a seperate form completed by the applicant.

  • The healthcare provider must complete the Medical Certification Form, which is a seperate form.

When complete, mail, fax, or email all forms to:

Ocean Housing Alliance, Inc.

605 Bay Ave, Point Pleasant Beach, NJ 08742

Fax: (732) 714-1140 heathoha@gmail.com

Note: If an applicant is placed on a waiting list, that list may take months or longer. We are happy that our residents stay long-term, and our available spots are limited.

Required Forms:

For your convenience, these forms have been formatted so that they can be either printed and filled out by hand or completed online and saved and printed when complete:

Current resident opening for a single room: $ 2,100- $2,300 monthly rent. Click to find out about our services

Residential Housing Application

Health Care Proxy Form

Medical Certification

Reasons for possible denial:

  • History of violence

  • Arrest record

  • Non-compliance with medication

  • Not stabilized

  • Current drug or alcohol usage

  • Current suicidal ideations

  • Refusal to attend day program

  • Mobility issues; we require all residents to be able to climb stairs; our rooms are mostly on the second floor

  • Not able to perform ADL’s or have a medical condition that can not be handled in an independent group home environment

    NOTE: Every application is reviewed by our team, and the above are examples, but are not absolutes. You can email heathoha@gmail.com with questions.