Men’s Emerging Adult Extended Care

Address: 800 Tydings Lane, Havre de Grace, Maryland, 21078, US
Telephone: (800) 799-4673

Day Pass

Day passes are allowed for patients when approved by the patients Counselor and must be scheduled 48 hours in advance in order to be permitted.

Leaving the facility is a privilege, this can be revoked at any time. Please refrain from getting tattoos and or piercings while on LOAs as this is in violation with our program policy.

Patients must check with staff prior to departure:

Upon arrival, patients must immediately check in with the staff.
Patient will be fully searched upon arrival back to campus.
Any items from the family must be handed directly to staff to search.

EAEC Day Pass

Name*
First Last
Date*
Date Format: MM slash DD slash YYYY
Requested Date of Day Pass*
Date Format: MM slash DD slash YYYY
Estimated Time of Departure*

: HH

MM
Date of Return*
Date Format: MM slash DD slash YYYY
Estimated Time of Return*

: HH

MM
Individual who will be picking up for the Day Pass:*
Please describe nature of the Day Pass, places you will visit, people you will see, and tasks you hope to accomplish:*
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Men’s Emerging Adult Extended Care

Day Pass

EAEC Day Pass

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