top of page

INTAKE  CONSENT TO THERAPY

Complete the Intake & Consent to Therapy Agreement to provide the information needed to begin mental health services with Quality Youth Services. This form helps our team understand your needs and prepare for your care.

QYS Logo - Reverse.png

877-393-6232 
Fax: 877-393-6232
admin@qyservices.com

Or contact us here

By calling or texting this number (877) 393-6232, customers agree to receive text messages. If you no longer wish to receive text messages, you may opt out at any time by replying "STOP".

QYS Clinical Services


2240 US-89 STE C
Harrisville, UT 84404

1638 N 200 W STE H

Logan, UT 84341

140 S Main St STE 1

Pleasant Grove, UT 84062

Support us on AmazonSmile! Search for Day One in Ogden, Utah.

  • Facebook Icon
  • Instagram Icon

©2021 BY QUALITY YOUTH SERVICES

bottom of page