Teen Help Programs for Troubled Teens

First Name *

Last Name *

Home Phone *

Cell Phone *

Work Phone

Email Address *

Unfortunately we're not able to respond to icloud or mac emails. Please use another email account.

Your Child's Name *

Gender *

Age *

If your child is under 12, we're not able to assist you.

Date of Birth *

Street Address *

City *

State *

Zip *

If other, describe here

Please click the issues that best describe your child:

What type of school/program(s) are you interested in? *

All Girls or Boys Therapeutic Programs

Ranch Programs

Christian Therapeutic Boarding Schools

Therapeutic Boarding Schools

Residential Treatment Centers

OtherOther

If you are searching for scared straight programs or boot camps, contact your local sheriff's dept.

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If you are searching for Scared Straight programs or Boot Camps, we are not able to assist you. Please contact your local Sheriff's Department for possible resources.

What Locations in the United States are you most interested in? You can check more than one. *

East Coast

West Coast

Central States

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What type of Medical Insurance does your child have? *

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Describe the situation that lead you to seek this service:

If you have any questions or comments please use the following space.You may also indicate the best place (home/work) and time to reach you.

How did you find us? (i.e. search engine (which one?), brochure, friend, co-worker, ad..)

Are you interested?

Yes, please email me the FREE chapter from your book "Wit's End: Advice and Resources for Saving Your Out-of-Control Teen"

The information that you provide on this form is kept confidential.

We help educate parents about the teen help industry and residential therapy programs that we have visited or have firsthand feedback on. We sometimes recommend adolescent services including schools, programs, treatment alternatives, therapists, and transport services; We do not own, control, manage, nor direct any individuals or companies that provide these services. We do not assume any liability or responsibility, implied or otherwise for said services. All liability or responsibility for any recommended services is assumed entirely by the service provider, as outlined in their individual enrollment agreements with the parent/sponsors.

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