Form
For Patients
Complete all of the required forms below prior to your appointment.
If are a new patient and haven’t completed the New Patient Registration Form, please do so by clicking the button below.
Disclaimer: We are a NON-CRISIS Facility!! If you need immediate emergency attention: Call 9-8-8 or 9-1-1
National Alliance on Mental Illness
Call: 1-800-273-8255.
Suicide & Crisis& Lifeline
Call 988
American Foundation for Suicide Prevention
Crisis Text Line
Text: 741741
MHA Peer-to-Peer Support Line
Call: 1-877-760-4987 –
https://www.mhaessexmorris.org/peer-to-peer-support-line/
Teen Line
Call: Call800-852-8336.
Text: TEEN to 839863
Youth Line
Call: 877-968-8491.
Text: teen2teen to 839863
Crisis Text Line
Text: HOME to 741741