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IRSCN Application

IRSCN Application

Thank you for your interest in joining the Indiana Rural Schools Clinic Network. In order to begin the application, the provider and school system must already have a relationship where both parties are interested in exploring the opportunity of establishing a school-based telehealth clinic.

Please click here to fill in the application online.

For a list of application questions prior to filling in the application, click here.

For sample letters of support, click on the appropriate category: School LOS or Provider LOS

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