Refuge House Application

APPLICATION INSTRUCTIONS

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1. Click here to fill out Housing Application  If you don't have access to a desktop computer or need assistance with the application, please email kristinhodge911@gmail.com.

2. Please save the completed application and email it as an attachment to - OR - Print the completed application and mail it to Refuge House, PO Box 241524 Milwaukee, WI 53224 - OR - Fax the completed application to 414-797-4011.

3. Make an appointment to see your physician and see him/her as soon as possible.

4. Click here for Physician Forms Take these 5 pages to your next doctor’s appointment or email them to your physician.

5. The following 4 tests need to be done at your doctor’s appointment or scheduled at a lab. Your doctor’s office will fax your completed test results directly to Refuge House.

• TB

• HIV

• STI testing/history

• Basic drug panel

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We will schedule a meeting with you to review your application as soon as we receive your portion of the application, the physician’s portion of the application and the test results.