More adults are actively working to stay healthy longer. At Northwest Health System, we applaud you and we support your efforts by continually assessing the needs of older adults in our community and enhancing our services. Staying healthy begins with a good relationship with your primary care physician. Our physicians understand there are special needs for older adults. In addition, our Internal Medicine and Family Practice physicians can care for you and your family. Your physician is your healthcare partner and will guide your treatment and coordinate care with specialists, if the need arises. To learn more about our services and members of our medical staff, please contact us at: 479-553-4301 or visit www.northwesthealth.com
Save money, live healthy, and have fun. Join the Circle.
To ensure that your membership application is processed quickly and accurately, please provide your entire mailing address and enclose a check or money order payable to Senior Circle Association. Thank you! Senior Circle Office 3000 Medical Center Parkway Bentonville, Arkansas 72712 www.northwesthealth.com
NORTHWEST HEALTH SYSTEM
Your advisor is dedicated to making your membership as valuable as possible. Call for a copy of the quarterly Circle News newsletter and activity calendar, and a full list of benefits.
Last Name
Date submitted with payment:
Middle Initial M F
First Name Phone
Social Activities
PLEASE DETACH AT PERFORATION AND RETURN TO THE ADDRESS BELOW.
Mrs. Ms. Mr. Dr.
• Holiday parties • Lunch Bunch • Yoga, tai chi and armchair strengthening classes • Local & national travel opportunities
DOB: Month
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Day
Social Security # (Remains confidential; not required) Address City
Year
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State
Apt #
Health & Wellness
• • • • Educational seminars Free health fairs Wellness classes Swimming and exercise events
Zip
E-mail Address (Not required, but will allow you to get event info and news) ____________________________________@ _____________________ Last Name
Member Benefits
2nd MEMBERSHIP, SAME ADDRESS ONLY Middle Initial M
Day
Have the time of your life in the prime of your life!
Membership in our Senior Circle Chapter will help you get more out of life through health talks, benefits at Northwest Health System, and many more valuable member-only discounts and privileges. You’ll also experience fun and fellowship enjoying a full calendar of social events and travel opportunities.
• Complimentary meal for spouse or caregiver each day a member is hospitalized at Northwest Health System • Cafeteria discount at lunch and dinner • Free quarterly newsletter • Free notary service • Free fax service
First Name DOB: Month
F
Year
Mrs. Ms. Mr. Dr.
Social Security # (Remains confidential; not required)
National Benefits
• • • • • • Prescription drug discount card Vision care discount card Hearing aids discounts Personal emergency response system discount Rental car discounts Free subscription to the Senior Circle national magazine Inside Circle
E-mail Address (Not required, but will allow you to get event info and news) ____________________________________@ _____________________ CHECKS ONLY: PAYABLE TO SENIOR CIRCLE ASSOCIATION One-year membership: $15 (SC1) Two-year membership: $27 (SC2) Save 10% (2) One-year memberships: $27 (TW1) Save 10% (2) Two-year memberships: $51 (TW2) Save 15% Senior Circle Northwest Health System 3000 Medical Center Parkway Bentonville, Arkansas 72712
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RETURN COMPLETED APPLICATION & CHECK or MONEY ORDER TO:
Lend a Hand
If you want to share some of your time and talent, volunteer at our chapter by contacting the Senior Circle Advisor at 479-553-4301. You will enjoy the rewards and camaraderie of volunteering while sharing the spirit of Senior Circle.
For more information, call the Northwest Health System Chapter of Senior Circle at 479-553-4301.
45-day money-back guarantee. Certain conditions apply; see Chapter for details. Benefits subject to change without notice. Memberships non-transferable. Senior Circle Association is a non-profit organization, and reserves the right to deny or terminate the membership of any individual based on Senior Circle’s sole discretion. Senior Circle Association Member Services: 800-211-4148
We value our relationship with you and will never share or sell your personal information to any outside organization without your permission.