Download Our Program Packets

If you’re interested in getting your family member or patient into Alabama Clinical Schools, completing the forms below will help to speed up the admission process. The following documents help to compile the patient’s demographic information, medical background, and previous treatment history. It also asks for information on referral sources, emergency contacts, and more. Forms can be mailed, emailed to [email protected], or alternatively faxed to 205-836-9483.

If you’d like to make a referral, please visit our Professional Referral page.


We’re Always Here to Help

Licensed mental health professionals are available 24/7 to schedule a no-cost, mental health assessments by calling 205-836-9923. For questions about our programs, you can also use our online contact form. In the case of a medical emergency or crisis, please dial 911 or go to the nearest emergency room.