DPH Adolescent Residential Program Forms

Click to download:

1. A Letter to Parents (PDF)
2. Mass. Adolescent Residential Substance Abuse Treatment Pre-admission Forms (PDF)
3. Working Together for Youth and Their Families: Cross Systems Agreements (PDF)
4. BSAS Payer of Last Resort (PDF)
5. POLR Fee Schedule (PDF)
6. Pegasus House 16–19 Year-Old Female Referrals (PDF)

Pegasus House Alert: Short-term Residential Program for 16–19 Year Old Females with
Substance Use Disorders

 

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