Patient Forms

Use the following forms to initiate admission to Bailey-Boushay House programs. For more information about the admission process or eligibility requirements, visit our Admissions page.

Inpatient Admission Forms

Outpatient Admission Forms

Chemical Dependency Admission Forms

Admission Office

If you have questions regarding patient forms or the admission process, please call the Bailey-Boushay House Admissions Office.

Phone: (206) 720-2305
Fax: (206) 720-2328