New Providers Application Process for Choice, SSBG and Title 3 Programs
Complete new provider application packet and return as indicated on the packet checklist.
New providers must currently be serving at least one client under another funding source to be considered for application.
The establishment of a contractual agreement provides no guarantee of referrals for service delivery.
Request for a complete application packet, including the contract, and any questions can be directed to:
Beth Krudop, VP of Administration
8101 W. Jefferson Blvd.
Fort Wayne, IN 46804
Or via email at email@example.com.