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Department of Behavioral Healthcare Services 

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Department of Behavioral Healthcare Services

PRIDE
Who's Who Information Page

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Right click on this link (PRIDEALUMNI2005) and select "Save Target As" and place it anywhere on your computer that you can easily get to.  It is recommended that you save it to your desktop.

Open the file (PRIDEALUMNI2005) you have saved to your computer and either print it and fill it out, or you may click on the box beside name and fill it out on your computer.  In order to go to the next box, you may either press the "Tab" button or use your mouse and click on the next box.  Once you have filled out the page you may print it and/or save it.  You must save the completed form if you wish to email it to us.

  1. If you wish to mail us the information, place the completed form and a recent photo of yourself (your photo will be returned to you) in a sealed envelope with the appropriate postage and mail it to:

Dept. of Behavioral Healthcare Services
Suite 400
500 Crawford St.
Portsmouth, VA 23704

  1. If you wish to email us the information, please attach your filled out and saved PRIDEALUMNI2005 form along with a recent digital or scanned picture of yourself to your email and send the email to prevent@portsmouthva.gov

We look forward to hearing from you!

 
City of Portsmouth, Virginia - All rights reserved.

last updated June, 2005