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ADMISSION DOCUMENTS

For your convenience, you can complete admission documents prior to your first appointment. Please click on the links below to access our forms.  Be sure to print and bring the completed forms with you to your appointment.  If you have any questions about these forms or the admissions process, please let us know.

Adults:

Self Report

History and Physical Health Screen

 

Children:

Parent/Guardian Self Report

Child/Adolescent Self-Report

History and Physical Health Screen

 


CONTACT US

 

Hegira Programs, Inc.

 

Administrative Offices

37450 Schoolcraft, Suite 110

Livonia, Michigan 48150

Tel: (734)458-4601 

Fax: (734)458-4611

 

Office Hours:

Mon-Fri 8:30 am - 5:00 pm

hpi@hegira.net

 


SCHEDULE AN APPOINTMENT

 

Hegira Programs, Inc.

 Pre-Admission Office

 

(734) 793-5026

 

Office Hours:

Monday-Thursday 9:00 am - 8:00 pm

Fridays 9:00am - 6:00pm