Admissions

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We provides a team of professionals dedicated to collaboratively working with both adults and adolescents struggling with mental health, eating disorders, and/or substance abuse.

Give Us a Call:

+1 (888) 948-9998

How the Intake Process Works

For youth that need around the clock support, our Residential Services offer an environment to help your child confront issues and learn how to cope with difficult emotions while being immersed in a new comfortable setting free from the circumstances that may have triggered the issue.

At Adolescent Growth, our safe and spacious facility offers nutritious meals, a high staff-to-client ratio and 24/7 availability. Using the information gathered during our specialized intake assessment, we personalize your child’s care to their unique needs. Our structured and individualized program considers their mental health and personal interests, while also addressing your concerns for their wellbeing.

Admissions Intake Form

If you have any questions, you can contact us. Please, fill out the form below.

Name of client*
First Middle Last
Your Email Address*
Your Contact Number*
Client/Patient Date of Birth*
MM slash DD slash YYYY
Client/Patient Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Type of Care Requested*
- Residential
- Partial Hospitalization
- Intensive Outpatient
Relationship to client/patient
Date of Birth*
MM slash DD slash YYYY
Name of Insured*
First Middle Last
Insurance Provider(Name of your insurance company)*
Member ID Number
Group Number
Number on the back of the card (for providers)
Through/Employer

Admissions

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How the Intake Process Works

Admissions Intake Form

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