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NEW CLIENT FORM

Thank you for your interest in QYS! We are excited to help you with any mental health needs. We recommend you have your insurance information available and, if you are a minor, your parent or guardian will need to help you.

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

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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

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1638 N 200 W STE H

Logan, UT 84341

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140 S Main St STE 1

Pleasant Grove, UT 84062

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©2021 BY QUALITY YOUTH SERVICES

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