Information Requests & More

Please use the following forms as requested and indicated by our admissions and referral staff. Some of these forms will be required to admit patients from other facilities or programs. Referring facilities and physicians will need to complete these forms for easy transfer of patient records and information.


Reach Out for Help Now

We’re available 24/7 to provide a no-cost mental health assessment. Call Pinnacle Pointe at 800-880-3322 to get started. For questions about our programs, call us or use our online contact form. In the case of a medical emergency or crisis, please dial 911 or go to the nearest emergency room.