Never Miss a Chance to Do the Most Good

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Never Miss a Chance to Do the Most Good

Please enter your name, email and zip code below to sign up!

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Services application and financial information

Please see below for general application and financial information.

For more information regarding services and application requirements, please contact us at (907) 279-0501.

Application Forms:

Admission Application

Financial Information and Agreement Form

Medication Information

Private Pay Discount Policy & 2025 Financial Information and Agreement Form

Financial Pay Source

General Information:

Services and Activities

Fact Sheet 

HIPPA Notice of Privacy Practices

*Please note that transportation is not provided.