You're almost done!

We just need the following items:

  • List of current medications (PROVIDED BY YOUR DOCTOR)
  • Copy of your drivers license or other ID card
  • Copy of your insurance card
  • Copy of DNR if applicable
  • Copy of Advance Directives if applicable
  • Financial Aid form if requesting assistance. (Click here for paper form, otherwise click on the green button below for the brief online form).

You can upload these items here or print and fax or mail them to us.