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Admissions Form

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.

Admissions Form

Alternatively, you can print our admissions form, fill it out and mail it or fax it to us: La Amistad Behavioral Health Services 1650 Park Avenue North Maitland, Florida 32751 Fax: 407-637-3069

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Begin treatment and recovery today for a better life tomorrow; call 407-647-0660.