Location
343 East 70th Street
New York, NY 10021

Dates
Tuesday, May 23rd
Tuesday, May 30th
Tuesday, June 6th
Tuesday, June 13th
Tuesday, June 20th

Hours
3:00 - 4:30 p.m.

Fee
$150

Contact
Leah Gable
Administration Manager
212-218-0481
lgable@lenoxhill.org

Sparking Wellness and Creativity Through Art

A Program for Individuals with Memory Impairments

Lenox Hill Neighborhood House is excited to announce a new Art Therapy program for individuals with mild to moderate stage dementia. This five-session course will explore the use of art to spark creativity, expressive outlets and cognitive stimulation. The person-centered process will focus on each individual’s strengths and the development of their own creative style. No previous art experience required!

The program will take place for five consecutive Tuesdays from May 23rd through June 20th from 3:00-4:30pm at 343 East 70th Street. Pre-registration required. Program Fee: $150.

Enroll using the form below; pay online or by check. 

Participant *
Participant
Home Phone *
Home Phone
Mobile Phone *
Mobile Phone
Address *
Address
Select One
Languages Spoken *
Check All That Apply
For Demographic Purposes Only
$
Emergency Contact *
Emergency Contact
Emergency Contact Address *
Emergency Contact Address
Emergency Contact Phone (Work) *
Emergency Contact Phone (Work)
Emergency Contact Phone (Home) *
Emergency Contact Phone (Home)
Emergency Contact Phone (Mobile) *
Emergency Contact Phone (Mobile)
i.e. spouse, friend, sibling, child
Billing Contact *
Billing Contact
Billing Contact Address *
Billing Contact Address
Billing Contact Phone *
Billing Contact Phone
i.e. partner, caregiver, legal guardian
Caregiver Name *
Caregiver Name
If none, write "NA."
Caregiver Phone *
Caregiver Phone
If none, write "NA."
i.e. spouse, legal guardian. If none, write "NA."
Describer help the caregiver provides *
Check all that apply
Please specify below
Please list type of service and provider name below (i.e. home-delivered meals, senior center, home care)
Primary Physician *
Primary Physician
Primary Physician Address *
Primary Physician Address
Primary Physician Phone *
Primary Physician Phone
Does the participant have any of the following impairments *
Check all that apply
Please provide information about participants' personal history including work and education background, hobbies and interests and other important information.