Contact Us

If you are interested in a career with Palm Shores, please complete the application associated with the job position under Careers. For more information regarding treatment for your child, please complete the information below and a representative from Palm Shores will contact you.

Complete the form below to request more information:

Do not use this form if you have a medical emergency or urgent problem. If you need immediate medical assistance, please contact 911 or seek the nearest Emergency Room.

For assistance or admission options 24 hours a day, seven days a week, please call us at 941.792.2222. Your call will be answered by a member of our staff who will ask you a few questions in order to determine what is most appropriate for your circumstances.

Any information submitted using this form is transmitted securely and held in strictest confidence, protecting your privacy.

View our HIPAA Privacy statement.