Registration

Registration in our clinics may be done one of two ways:

1. Enroll online by using a tablet, computer, or cell phone.

Enroll online
Students English Link: https://na2.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=fa6fa424-7505-41fd-8b22-2f59276a98f6&env=na2&acct=b22350f4-34ad-4779-80a6-67905c8d7c3a&v=2

Students Spanish Link: https://na2.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=bd47e891-4f54-4cbe-b19f-d2110b07a217&env=na2&acct=b22350f4-34ad-4779-80a6-67905c8d7c3a&v=2

OR

2. Print paper copies, complete, and bring to clinic.

PAPER COPIES FOR DOWNLOAD :

Students – English:

Students – Spanish: