Apply by mail

Back to apply or renew

Paper mail-in applications are reserved for applicants who do not have access to any internet resources.
Apply online
Complete and send the following documents through certified mail
Important information
  • It will take approximately 6-8 weeks to process your mailed application.
  • All correspondence with the registry will take place by mail. This means it may take 6-8 weeks to receive a response each time you contact the registry.
  • Your physician must submit your certification online and provide you with a printed copy for your records. Paper physician certifications will not be accepted after August 1, 2017.
  • If you have a caregiver they must be registered in the online system and provide you with their caregiver ID to enter on your application.
Update my registration by mail
Use these forms if you applied by mail and need to make an update to your current registration
Patient support
Help with your application