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Intake: (907) 745-2634

Behavioral Health Outpatient Clinic
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Forms

View, download, and print these commonly requested forms:

Intake Packet

CODI Referral Form

Release of Information

Support Our Mission!

Healthier families, stronger kids, and a continuum of services that can support families in need.

Learn More Here

  • Home
  • About Us
    • Privacy Practices
  • Our Staff
  • Behavioral Health Clinic
  • Family Services
  • Forms
  • Contact
  • Employment Opportunities


Clinic Hours

Monday – Friday:
8:00 am to 5:00 pm

Closed Saturday & Sunday.

Mailing: PO Box 1907
11921 E Palmer-Wasilla Hwy
Palmer, AK 99645

Phone: (907) 745-2634
Fax: (907) 745-4897

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