Admissions Form

Please take a moment to fill out the following admissions form 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

Print Form

Hope Within Reach

We are your trusted partner, serving the Behavioral Healthcare needs of our community.