Crisis Referral Form

“In order for People Incorporated to make a determination on admission into our Crisis program we must receive this form filled out in its entirety along with all relevant documentation which includes insurance information, H&P and medication lists. A phone screening will also need to be completed and a People Incorporated Intake Coordinator will reach out to schedule this with you. Please be aware that until we receive all this information, including the information we collect in the screening, we cannot make any admission determination.”