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Print this page. | |||||
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Click on the button to the right for the latest Adobe Reader. |  |
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Click on Download Forms to the right. | DOWNLOAD FORMS | |||
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Complete the application forms online. The first form will fill the remaining 2 forms. |
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Please print and sign 2 copies of your completed forms. | |||||
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Please take the signed MEDICAL INFORMATION RELEASE to your doctor or healthcare provider. | |||||
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Mail or FAX the completed and signed application forms. Please only send one copy of application forms. | |||||
| You may Mail or FAX documents. | ||||||
| Mail to: | FAX to: | |||||
| The Lighthouse Community | 1.800.251.6483 | |||||
| 11108 Woodland Ave | ||||||
| Puyallup, WA 98373 | ||||||
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