801-773-7060 

24 Hour Crisis Line


New Client Enrollment

 

Please complete the following Admission / Enrollment Application. 
Provide all applicable information and click the 'SUBMIT' button when complete.
Demand for services fluctuates. It is possible that you may be placed on a waiting list.
Once you submit the enrollment form, someone from Davis Behavioral Health will call you to
discuss your application and the wait time for your first appointment.

If client is under 18 years of age, print the YOUTH ASSESSMENT FORM below. Complete and bring it to your first appointment.