Admissions

 

STEP 1:

 

Send front and back copies of your ID and Insurance card.

Man Using a Tablet

STEP 2:

 

Once you have contacted our office to establish care, you will receive a link to complete your intake forms. 

 

You can also access these forms here:

 

 

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DUI Assessment

STEP 3:

 

Once all patient forms and insurance documentation has been received and verified, you will receive the details of your initial assessment and medical appointment. Additionally, you will also receive information regarding your group therapy appointments.

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contact admissions

Direct: (502) 861-7886

Toll Free: (888) 751-3730 ext. 107

Additional forms

 

Patient Referral Form

Clients Rights & Responsibilities Form