Immediate Assistance Available 800-515-3277 i
800-515-3277 i

Are you worried that you or a loved one is addicted? Call
1-800-515-3277 to Speak with a Treatment Consultant.

Online Assessment

Please fill out the Confidential form below to get an assessment from a qualified drug and alcohol treatment specialist. Please fill out as much information as you can. The more information we have, the better we can help you on your road to recovery. If you prefer to talk to a specialist, please call 1-800-515-3277 i. The call and the form are kept strictly confidential. Your information will not be shared without your permission!

  • Drug History

  • Treatment History

  • Medical History

Ready to get the help you need?

We understand that reaching out for help can feel overwhelming. When you call us you will be connected to a caring, knowledgable Treatment Consultant who will address your concerns, answer your questions and guide you through the ins-and-outs of our simple admissions process.