Admission Inquiry - Rehab Center

Do you or a loved one need treatment for addiction and mental health treatment?

Our pre-admission questionnaire is the quickest way to get started. In this screening, we ask you to share details about the applicant’s history of mental health, substance use, and medical procedures. We also ask about any legal issues. Don’t worry, the application is confidential, secure, and stored on HIPAA-compliant servers.

Answering our questions accurately will help us help you

To best address the applicant’s treatment, we request a comprehensive history of substance use and medical treatments related to mental health and substance use disorders. Please share as much information as possible. It helps us personalize our approach to the applicant’s treatment.

By providing information on current or prior legal issues, our case managers will be able to facilitate any necessary extraneous circumstances, including probation and parole.

Save time and money by verifying insurance while you apply

By verifying insurance now, we can take the steps to ensure your insurance covers as much of the applicant’s treatment as possible. No insurance? No problem. We accept private payment, too.

Filling out the application for someone else?

While we understand it may be difficult, we ask you to be as thorough and accurate as possible when applying on someone else’s behalf. Please use the information of the individual who will be attending treatment. If you do not know specific information, or if you have any questions or concerns as you are filling out the questionnaire, please feel free to call us directly at USA Ph. No. +1-281-699 9070 SCall or SMS Greece +30 698 0941360 WhatsApp Available

Your application is confidential

Any information submitted is transmitted through a secure connection and stored on HIPAA-compliant servers. We take your privacy very seriously. At Stages of Recovery, we are committed to protecting your personal information.

If you want to read more about our privacy policy or how we handle your medical records, you can read our comprehensive privacy policy here.

apply to stages of recovery

Do you or a loved one need treatment for addiction and mental health treatment?

Answering our questions accurately will help us help you

Save time and money by verifying insurance while you apply

Filling out the application for someone else?

Your application is confidential

Complete this Pre-Admission form

Personal information

Patient admission form

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