Admission Form

Here is where you will Download a Word doc of the Application for Admittance. Follow the directions at the right to get it back to us.


Once your Application is approved you will be instructed to do an online Background Check. To do that you go to Certified Background here and put in package code “NR38” to get started. Don’t start this process until you are asked to however.


The Public Clinic will be closed from July 3rd through July 12th for Vacation.