Patients

January 11, 2023

Request to Correct or Amend Personal Health Information

October 20, 2021

Authorization to Release Confidential Information

Crisis Assistance

If you are having a medical emergency, please dial 911.

If you’re in an emergency, or need to reach us right away, our helpline is available 24/7. If you experience a crisis or have an urgent matter, dial (800) 433-7291. Callers can remain anonymous and receive support from trained Crisis Line technicians who have access to the resources and information they so desperately need during the most vulnerable times of their lives.

Patients

PSY Intake

NCS Intake

Consumer Concern Form

Request to Correct or Amend Personal Health Information

Authorization to Release Confidential Information

Crisis Assistance