Pre-Admission Form

The form below has been developed to help us learn more about your psychiatric and/or substance-related need. Filling out this form online can help us streamline the admissions process when you arrive at Harbor Oaks. However, please know that filling out this form does not obligate you to be admitted neither does it guarantee admission. Complete this form and someone will contact you within an hour.

Privacy is paramount at Harbor Oaks Hospital.

In compliance with federal privacy and confidentiality laws,  Harbor Oaks Hospital will keep your email address and contact information completely private. We will not share your information with any third party. Your privacy is of critical importance to us. This is our pledge.