Please complete the form below, and one of our staff will contact you shortly to schedule an appointment to begin the application process.
Please note: The form below is NOT an application for admission to the Head Start program. You must complete an intake appointment with one of our staff in order to be considered for the program.
For faster service, please contact one of our locations directly to schedule an appointment.
School readiness begins with health! Our program follows Indiana child care licensing and Head Start Performance Standard regulations that require all enrolled children to complete a school physical exam each year of enrollment and a dental exam every 6 months. Please use the link below to download physical and dental exam forms to take to your medical providers. If you need help establishing a medical provider, our Program Assistant can help you find the best provider to suit your needs.
Serving Northwest and Northern Indiana, Regional Health Systems supports programs in Benton, Jasper, Lake, LaPorte, Newton, Porter, Pulaski and Starke Counties and manages facilities in Cedar Lake, East Chicago, Gary, Hammond, Highland, Hobart, Lake Station, Merrillville, Valparaiso and Whiting, Indiana.
Our network of community-based health care and social services welcomes Indiana residents of all ages and income levels with fully integrated, streamlined services.