To speak to someone at Park Royal, please call our 24-hour phone line. If you would like to submit a confidential, non-urgent message to our Intake and Assessment Center, please use the form below. Your email inquiry will be answered as soon as possible. But don’t wait. If your need is urgent, please call.
If you are in a state of crisis or need immediate help for any reason, please pause filling out this form and call 911.
If you feel that you are a danger to yourself, please pause filling out this form and contact the National Suicide Prevention Lifeline at 1-800-273-8255 or 911.
If you are unable to call Park Royal Hospital at (239) 204-2131 please use the form provided below to submit a confidential message to our admissions staff. We will respond as soon as possible.
Please note that by leaving your contact information in the space provided, you consent to allow Park Royal Hospital to use this information to contact you. Any information provided will remain confidential. Please note that by choosing to not leave your information, the staff at Park Royal Hospital will not contact you.
Disclaimer: Park Royal Hospital disclaims any liability, loss, or risk sustained directly or indirectly as a consequence of any actions you take with this form.