How to apply
If you have any questions, we would be happy to hear from you. Please use the contact form below to reach out.
You are also welcome to visit us at our office located at 200 W. First Street, Suite 516. Please note that visits are by appointment only.
You can also message us on Facebook.
If you are ready to apply, download the PDF application at the bottom of this page. Please review it carefully, complete all required sections, and sign where indicated. You may return the signed form in person – we are happy to schedule a time to meet and collect it – or upload it securely through it via Packfrog, a HIPAA compliant end-to-end encrypted platform .