Please take a moment to download and fill out all sections of Pathway to Everyday Life mandatory intake pre-admissions documents for the appropriate youth program. We will not be able to move forward with the admissions process without all documents being completed and submitted. (**All forms are Adobe fillable**)
DocuSign option is also available
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PENNSYLVANIA FLORIDA
SIL & TL Referral Intake Forms IL Referral Intake Forms 1. SIL & TL Intake Form 1. Florida IL Program Application
RESIDENTIAL (RES) Referal Intake Forms
1. Residential Intake Form
ALL PROGRAMS
2. Risk Assessment Form 3. Cell Phone Policy
Please provide copies of the youth's IEP/ISP, Behavioral Plan, Psychiatric Evaluation, and Medical History, along with a list of all current medications and prescriptions.
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Please email completed forms to us at admissions@pathwayeverydaylife.com.
If you have further questions, please feel free to call us.
Pathway to Everyday Life Human Services, Inc.
Email: admissions@pathwayeverydaylife.com
Pennsylvania Tel.#: (484) 209-9981 * Fax: (484) 214-0088
Florida Tel.#: (772) 777-8254
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