Admission

Consultation Request Form

A. Personal Details





B. Contact Information

C. Consultation Details




D. Additional Information (Optional)

E. Consent


Time Activity
7:00 AM Wake Up & Personal Hygiene
7:30 AM Morning Yoga & Breathing Exercises
8:15 AM Breakfast
9:00 AM Morning Group Session – Psychoeducation
11:00 AM One-to-One Psychotherapy
12:00 PM Vocational / Occupational Skills Training
1:00 PM Lunch & Rest
2:30 PM Skills Training – Coping & Relapse Prevention
4:30 PM Recreational / Creative Therapy / Outdoor Activity
6:00 PM Family Call / Family Psychoeducation
7:00 PM Dinner & Evening Reflection (Journaling)
8:00 PM Mindfulness Session / Sleep Preparation
9:30 PM Lights Out / Quiet Time
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