As a part of the admission process to the Safe House all prospective Residents are required to fill out and application form and, read and sign the Program Rules Agreement form.
Upon application and interview approval, a mandatory background screening will be required.
The forms can be downloaded in the links at the bottom of this page. Completed forms can be sent to Hepzibah House via: e-mail, fax or mail.
E-mail forms to:
info@hepzibahhouse.org
Fax forms to:
(866) 614-5055
Mail forms to:
Hepzibah House
1530 W Boynton Beach Blvd, #3863
Boynton Beach, FL 33424
CLICK HERE TO DOWNLOAD THE CLIENT APPLICATION FORM
