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"Thank you for all your help and support. I am now sober over 14 months now and my life is amazing."

-Mike C.
 

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  *Full Name:
  *E-mail:
  *Telephone:
  Have you been in treatment in last 12 months? Yes   No
  Have you experiened any medical problems due to substance abuse? Yes   No
  If yes please explain:
  Previous Drug of Choice:
  Previous Secondary Drug of Choice:
  Age Started Using:
  Current Age:
  For you or For Loved One:
  Do you admit to having a problem? Yes   No
  Willing to do what ever it takes to stay sober:
  Have you been in Rehab Before? Yes   No
  How Many Times:
  Private Pay: Yes   No
  Insurance: Yes   No
  How did you find us?
  If Search: what keyword phrase did you use to find us?
  Are you in an (IOP) intensive out patient currently? Yes   No
  Did your treatment center recommend an aftercare program? Yes   No
 
 

   




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