Admissions Form

Please take a moment to fill out the following admissions forms to make the admissions process as smooth as possible for you and our staff. Alternatively, you can print our admissions form, fill it out and mail it or fax it to us:

Admissions Form (PDF)

La Amistad Behavioral Health Services
1650 Park Avenue North
Maitland, Florida 32751
Fax: (407) 637-3069