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Do you, a loved one, or a person you're supporting need services? This is the form you're looking for.

If you are interested in one of our ID/A or IBHS services, you can fill out this form and it will be delivered directly into our inbox. Please fill out the form in its entirety so we can best prepare for intakes, meet and greets, and ultimately treatment.

Southern Region

1225 Carlisle St, Suite 3

Hanover, PA 17331

Northern Region

40 Woodward Ave, Suite 3

Lock Haven, PA 17745

(570) 660-4101

© 2025 JTMC. ALL RIGHTS RESERVED

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