Health Center Application

Instructions

You can call us at 607-584-3206 to request an application for admission or you can obtain one here. In either case, you will need to mail the signed application to:

Admissions Department
Good Shepherd Village
80 Fairview Avenue
Binghamton, NY 13904

Fax: 607-723-4724

If you choose to use the application found on this website, you will need Adobe Reader to download the form and print it out. Complete the application, sign it, and provide the supporting documentation. Please mail the application and the other information to the address above.