Rancho Bella
Behavioral Health
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Rancho Bella
Behavioral Health
  • Home
  • Services
  • Contact Us
  • Admissions

Interested in Treatment or Services?

Ready to take the next step?

We offer several ways to connect with our team, including submitting a full application, completing a quick online application, or sending a referral from a provider or care team.


Please note that Intake and admission is not an immediate process. Submission of an application or referral does not guarantee acceptance into services or scheduling of an intake appointment. All applications and referrals are reviewed for eligibility, clinical appropriateness, and program availability.


To avoid delays, please ensure all information is accurate, complete, and includes current contact information. Incomplete submissions may not be accepted for review.


Once a complete application or referral is received, a member of our intake team will contact you within 48 business hours. Intake appointments are conducted Monday through Friday and require a scheduled appointment. 


To begin the process, please submit your application through one of the options below.


Application Forms

 

Download Application

Please complete the application in its entirety with as much detail as possible and email completed packet to:

ranchobellabh@gmail.com

*Incomplete applications may delay processing or may not be accepted for review.

Intake Application (pdf)Download

Quick Inquiry

For quick inquiries please complete the form below. Please ensure you have filled out thoroughly and have provided a response for every section before submitting as incomplete submissions may not be accepted.

Attach files here
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Client Referrals

Referrals from Providers, Facilities, and Care Teams

If you are referring a client for services, please email the following documents:

  • Client Face Sheet 
  • Clinical Summary 
  • Most Recent Assessment 
  • Any additional supporting documentation relevant to treatment needs 
  • A completed intake application

Please send referral packets to:

Ranchobellabh@gmail.com


Rancho Bella

21609 N 12th Ave. Suite 600 Phoenix, Az 85027

602.622.7731

Copyright © 2026 Rancho Bella Behavioral Health - All Rights Reserved.

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