Intake
Sign-up For Drug & Alcohol Rehabilitation
Fill out the screening form below to start the intake process.
Someone from our Outreach Team will reach out to finalize the process.
Forms
Further documentation should you choose to fill them out. We will also send this information to you once we contact you from filling out the form above.
Release of Information (ROI)
Client health care information is confidential. Medical records cannot be released to any person without the permission of the client or client’s legally authorized representative.
Instructions for ROI
The step by step instructions on what to put in each section of the ROI. First open the Release of Information and then open this document, to guide you through filling it out correctly.
Referral and Screening Form
This is a more comprehensive form than the digital form above. You can choose to fill this out instead and mail, fax, or email to us. Instructions on where to send this after completion is at the bottom.