Medical Form
Thank you for your interest in the Teen Challenge program. Please print the medical form below and give to your doctor.
other helpful numbers
Suicide Prevention Lifeline:
1-800-273-8255 | TTY: 1-800-799-4889
SAMHSA's National Helpline:
1-800-662-4357 | TTY: 1-800-487-4889
Disaster Distress Helpline:
1-800-985-5990
Veteran's Crisis Line:
1-800-273-8255 | TTY: 1-800-799-4889
Domestic Violence Hotline:
1-800-799-7233 | TTY: 1-800-787-3224