Talk to US!

Call us during business hours!

Phone: 501.821.5500

Toll Free: 501.728.6452

Fax: 501.821.5580

Drop us an email!

Patient safety questions or concerns can be reported to the Joint Commission:
Online at: www.jointcommission.org
By Fax at: 630-792-5636
Or By Mail at: 1 Renaissance Blvd, Oakbrook Terrace, IL 60181

Our staff respond to after-hours psychiatric emergency calls for current patients. To access emergency services, call the following number: 501.413.9949

Records Request

To request access to your Youth Home records, please complete the form below:

Form

Authorization To Disclose Health Information

To provide authorization for Youth Home to disclose your protected health information to another entity, please complete the form below:

Form

Authorization To Disclose to Youth Home

To provide authorization for another entity to disclose your protected health information to Youth Home, please complete the form below:

Form

Consent To Email Communications

To allow e-mail communication, please complete the form below:

Form