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818-214-HOPE (4673)

Intake Packets

Please select the appropriate packet to download and kindly complete before your first appointment.
We thank you in advance for your time and attention in order to provide  Safe Harbor with this very important information.
Adult Basic
adult_basic_intake_packet_v.5.pdf
File Size: 561 kb
File Type: pdf
Download File

Child/Adolescent 
​Basic

minor_basic_intake_packet_v.3.pdf
File Size: 573 kb
File Type: pdf
Download File

Child/Adolescent   E.D.

minor_ed_intake_packet_v.4.pdf
File Size: 793 kb
File Type: pdf
Download File

Adult     E.D.
​
adult_ed_intake_packet_v.4.pdf
File Size: 808 kb
File Type: pdf
Download File

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  • Home
  • About
  • Programs
  • Group Schedule
  • Testimonials
  • Our Staff
  • Contact
  • Blog
  • For Friends and Family
  • New Clients