• Live Therapist Support 24/7 · 415.331.1302
  • Admissions Application


    By filling out this short form, you can reserve your spot in our treatment program and get started on the Admissions process.  We will generally review your information and contact you within 24 hours of the date and time that you submitted it.  All information provided on this admissions application form will remain strictly confidential.

  • Self Assessment

    self-assessment

    Not sure if you need help? Submit your assessment for
    a free confidential evaluation.

  • Treatment Guarantee

    Treatment Guarantee

    Offering full day (PHP) and after
    school treatment curriculums
    up to six days per week.

  • Insurance Verification

    Insurance Verification

    Not sure if you have coverage? We’ll verify your benefits for you at no cost to you.

  • Program Schedules

    Program Schedules

    View our Evidence Based Full Day and Intensive
    Outpatient Curriculums.

  • Patient Referral

    To refer a patient, please provide your contact information below, and our admissions coordinator will be in touch with you shortly. You may also reach admissions by phone at 415.331.1302.
    Clinician's First Name*