Please read the entire application and fill in all of the required fields. Incomplete applications will not be accepted. You may upload the required documents (most recent report card, most recent physical exam, immunization records) directly to this form using the orange "upload a file" buttons. Documents can also be dropped off or mailed directly to LifeWise StL.
Attn: Emma Patterson at LifeWise StL
1321 S. 11th Street
St. Louis, MO 63104
If you have any questions, you may contact Emma Patterson at