2 Crocker Boulevard  Suite 101

Mt. Clemens,  Michigan  48043


Phone:  586-468-2266

Fax:  586-468-4505 




Adult Mental Health Intake

Intake forms (please print, fill out and bring to your first appointment):

Additional forms (please review prior to your first appointment):

 

Adult Substance Abuse/Dependence Intake

Intake Forms (please print, fill out and bring to your first appointment):

Additional forms (please review prior to your first appointment):

 

Child/Adolescent Intake

Intake Forms (please print, fill out and bring to your first appointment):

Additional Forms (please review prior to your first appointment):

Nature Scene