Provider Membership Application

Please download and submit this application if you are a Skid Row service provider.

lacpc_provider_application_-_rev_feb_2026.docx
File Size:	178 kb
File Type:	docx

Download File

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Community Member Application

Please download and submit this application if you are a Skid Row community member.

lacpc_community_member_application_-_rev_feb_2026.docx
File Size:	2329 kb
File Type:	docx

Download File

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