New Consumer Admissions

On this page are the forms you'll need to apply for admissions to the Life Skills Program in San Fernando. Complete the forms, scan them to a digital asset and email to the program director. You may optionally print them out and mail to 215 N Macneil St., San Fernando, CA 91340

Admission Agreement

Physician Report CCF

(Must be completed by a physician)

Personal Rights Adult

(Community Care Facilities)

Consent for Emergency Medical Treatment

Life Skills Photo Release

(Optional)

Life Skills Transportation

Thank you for considering Life Skills Program.

Our Mission

Our job program is based on the idea that "job success" is how well we get along with others.

DEPT OF DEVELOPMENTAL SERVICES

Complaints about LifeSkills?

Phone: (916) 654.1987
Website: https://www.dds.ca.gov/complaints

Admission Contact

Eric Brotman, Ph.D.
Administrator
Cell: (818) 898.1926

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