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:
Fax forms to:
Mail forms to:
1530 W Boynton Beach Blvd, #3863
Boynton Beach, FL 33424