Before you fill out the admission form, please check with Deanna Proctor, our Director of Christian Science Nursing that our facility has space for you. You can contact her at 510-886-2448 Ex 225 or email@example.com.
If we have an opening and you have been requested to download our admission form, please download and print out the form before filling it out.
After filling out the form and signing it, there are three ways you may send it back to us:
- You can scan and email the form to firstname.lastname@example.org, with subject line "Admission Form"
- You can mail the form to the following address:
18457 Madison Ave,
Castro Valley, CA 94546
- Or you can fax your form to (510) 886-5992.