Download, complete and sign the Application.

If applicable, please ensure all Medications are listed.

Mail your application to:

NY HEC

c/o Wellspring19, Inc.

26 First St. – Unit 8611

Pelham, NY 10803

or email the completed application to: newyorkhec@gmail.com

Join us on the next retreat:

How to apply:

Click on this button to download our retreat application: