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Intake Forms

As part of the admissions process at The New Foundation it is important to gather as much information as possible related to the behavioral health needs of those seeking treatment.

Please complete steps #1 and #2 to begin the process of seeking treatment with The New Foundation.

  1. Please complete ALL the information on the referral form below in order for us to be able to provide you with the quickest and most efficient admissions process possible.
  2. The Release of Information (ROI) form below should be completed and sent to your outpatient provider so that we can obtain recent clinical records for review.

This information will be reviewed by our staff in order to determine medical and clinical appropriateness for the programming options we offer. It will assist us in working to ensure that we will be able to provide you with the most comprehensive treatment experience that will most optimally meet your needs.

 

**Please Note if using Google Chrome, download and save before filling information into Referral Form**

FORMS CAN BE FILLED OUT ONLINE and EMAILED, FAXED OR MAILED

To Email:
Complete and save online form.

Send to: admissions@tnfaz.org

To Fax:
Complete, save and print form.

Fax to: 480-945-3302  Attn: Admissions

To Mail :
Complete, save and print form.

Mail to: The New Foundation
1200 North 77th Street
Scottsdale, AZ 85257-3708
Attn: Admissions

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