ASK ABOUT OUR REFERRAL DISCOUNT!
ASK ABOUT OUR REFERRAL DISCOUNT!
The following online forms are HIPAA compliant and automatically upload to a secure network when complete (with exception to the injectable enrollment forms). No downloading or uploading necessary. If you have any questions/concerns, please give us a call. Thank you!
MAT - Opioid Use Disorder
MAT - Alcohol Use Disorder
Weight Loss
This is required for records requests, coordination of care, etc.
*Please Do Not Complete Unless Directed By A Staff Member*
*Please Do Not Complete Unless Directed By A Staff Member*
*Please Do Not Complete Unless Directed By A Staff Member*
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