COVID-2019 Alert

The latest information about the 2019 Novel Coronavirus, including vaccine clinics for children ages 6 months and older.

La información más reciente sobre el nuevo Coronavirus de 2019, incluidas las clínicas de vacunación para niños de 6 meses en adelante.


Advance Practice Provider Application

The Advanced Practice Provider application is available in PDF format. You must have Adobe Reader in order to fill out this application.  If you do not have Adobe Reader, you can download a free copy at


  1. Fill in the fields as appropriate
  2. Print the PDF
  3. Sign all areas requiring your signature

Next Step: Fee