Admission — Welsh Therapeutic Facility

ADMISSION POLICY:

Residents considered for acceptance into the home will be compatible with other residents of the home and will be professionally recommended for community placement. Their primary diagnosis will need to be such that they could benefit from Welsh’s Therapeutic Facility, LLC program. A Program Director and Residential Care Workers are available at the home 24 hours per day 7 days per week.

Please complete the form below

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

*Optional

Mental Diagnosis

Please Check All Fields That Apply

Severe Mental Illness

Physical Aggression

Destruction of Property

Severe Sexual Behaviors

Elopement & Wandering

Self Injurious Behaviors

Verbal Aggression

Other

*If Checked Other Please Specify