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If you or a loved one are experiencing a crisis please contact: Beaver County Crisis 1-800-400-6180 (Available 24/7)
OUTPATIENT CLINIC FORMS
Intake Forms:
Please fill out the appropriate intake form and bring it with you to your first appointment. If you're unable to print and fill out the form, please arrive at least 15 minutes early to fill out the packet. Intake packets must be completed and turned in at your first appointment.
Under 14 years old:
14 years old AND older:
Other Forms:
Release of Information / Medical Records:
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