Thank you for your interest in Glenwood Behavioral Health. We look forward to providing you with the details you need so that you can make the most informed decision about treatment.
If you are in a state of crisis or need immediate help for any reason, please pause filling out this form and call 911.
If you feel that you or a loved one is at risk for suicide, please pause filling out this form and contact the National Suicide Prevention Lifeline at 1-800-273-8255 or call 911.
The best way to reach Glenwood Behavioral Health Hospital is to call (855) 681-0634.
If you are unable to call us, please use the form below to submit a confidential message to our admissions staff. We will respond to your message as soon as possible.
Any information provided through this form will remain confidential. However, please note the following:
- By leaving your contact information in the space provided, you consent to allow Glenwood Behavioral Health Hospital to use this information to contact you.
- If you do not provide contact information in the form below, or if you provide incorrect information, we will not be able to reply to your message.
Disclaimer: Glenwood Behavioral Health Hospital disclaims any liability, loss or risk sustained directly or indirectly as a consequence of any actions you take with this form.