Intake Form

Taking the next step

You've already taken the first step by looking for help.
Now is the time to reach out and ask.

Your Contact Information

First Name
Last Name
State/Province
Country
Email
Phone
May we leave a message on this number?

Potential Client Information

Who are you inquring for?
What is your relationship?
Individual's First Name
Indivual's Last Name
Individual's State
Individual's Country
Marital Status
Number of Children
Employment Status
Date Last Worked
DOB
Current Height
Current Weight
Insurance Provider

Additional Information

Primary concern for contacting us?
If other, please specify
How long has this been a concern?
How soon are you looking for treatment?
How did you hear about Casa Palmera?
Any additional information

The best way to reach Casa Palmera is by phone.

Call us, please. You will have the benefit of a personal conversation with a sympathetic professional, and find immediate answers for your most personal inquiries.

Call for all non-admission related questions.

CALL TO SPEAK WITH A PROFESSIONAL

HELPFUL LINKS

Eating Disorders on College Campuses
Read More »

Top 12 Signs of Prescription Drug Addiction
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Opiate Addiction
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Detox and Rehab for Prescription Drug Abuse
Read More »

Our Location
Casa Palmera is located near the coastal village of Del Mar, California.

Our behavioral health residential treatment
center is minutes away from the beach and
other delightful Southern California activities.
Check out Del Mar Beach Cam and catch
a closer look at our beautiful area.

This web cam also features other San Diego
web cam locations.

SeaWorld »
San Diego Zoo »
Other San Diego Beaches »

NAVIGATION

THE RIGHT TREATMENT FACILITY

As a comprehensive behavioral health facility, Casa Palmera understands that eating disorders, drug and alcohol addiction, chronic pain and trauma are physically exhausting. However, not all treatment programs also recognize the need for mental and spiritual recovery. What makes Casa Palmera distinct from other treatment facilities is our desire to not only heal the body, but our larger goal of healing the mind and spirit as well.

Casa Palmera is a consistently successful program because with our holistic perspective we analyze the physical, nutritional, environmental, emotional, social, spiritual and lifestyle values and challenges of each individual in recovery. Therapies and classes which are designed to assist in this analysis include: individual and group psychotherapies, physical therapy and exercise, holistic medicine, expressive therapies and lifestyle practices.

Call us today to get started on your path to physical, emotional and spiritual recovery.

ADDICTION TREATMENT

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