Download Application


We have made both the application and guidelines downloadable and printable in PDF format by clicking the corresponding links below. The application can be filled out on your computer, and then either printed and faxed to us or emailed back to us.

Take your time reviewing and filling out every field to the best of your ability. We are very thankful for your interest in our program and truly feel in our hearts that you have found us now, in God’s perfect time, and offer our sincerest prayers that this decision you are making by moving forward with our facility and family will be awesome and life changing. You are invited to call us with any questions at (423) 447-2340.


Application Form

This form can be filled out
on your computer.  To send it
back to us via email, be sure
to save it to your computer
after filling out.