Register for the Hospital Component

This form is for court-referred participants enrolling in the Hospital Component of the H.A.M. Program.
Once registered and paid, you’ll receive 60-day access to complete the TeleHealth course online.

Self intake

DEMOGRAPHIC INFO


APPOINTMENT INFO


LA General (English)
Virtual
Henry Mayo
CSMC

LA General (English)

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Virtual

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Henry Mayo

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CSMC

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LA General (Spanish)
LAC+USC (Spanish)

LA General (Spanish)

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LAC+USC (Spanish)

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REFERRAL INFO


Self Intake (English)
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