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Please complete this intake form if you are seeking services. You will receive a phone call back from us within within a few days to confirm receipt of this intake, to further discuss how we can help, and to review procedures. Please do not use this form for crisis or emergency. It is not monitored outside of regular business hours. In the event of an emergency, you should contact 911, text or call 988, or go to the nearest Emergency Department. If you would like to speak with staff, please call our office during normal business hours Monday-Friday 8:30am-4:30pm at 215-947-8654, option 1. Thank you! We are here to help!.
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