Enrollment Interest Form

Submit the form below. We'll be in touch.

Submit the form below.
We'll be in touch.

The enrollment interest form below is intended for parents/guardians to enroll their child/adolescent or for young adults 18+ wishing to enroll themselves in services.

The enrollment interest form below is intended for parents/guardians to enroll their child/adolescent or for young adults 18+ wishing to enroll themselves in services.

The enrollment interest form below is intended for parents/guardians to enroll their child/adolescent or for young adults 18+ wishing to enroll themselves in services.

If you are looking to submit a referral as a community partner, school representative, or other professional organization, please go to our referral page to find the appropriate referral form.

If you are looking to submit a referral as a community partner, school representative, or other professional organization, please go to our referral page to find the appropriate referral form.

If you are looking to submit a referral as a community partner, school representative, or other professional organization, please go to our referral page to find the appropriate referral form.

Referrals

Preferred Contact Method

Consent

Once you submit this form, a representative at Touchstone Health Services will contact you within 1-2 business days to confirm your information and schedule an intake appointment. If you need to contact us sooner, please call us at 866.207.3882. Thank you!

15820 N 35th Ave. Suite 14
Phoenix, AZ 85053
866.207.3882
Equal Opportunity Employer
ACA Form 1095c Notice