Addiction Clinic Admissions

Admission Questionnaire

Once you have made the decision to seek intervention through
rehabilitation, either for yourself, for a family
member or for a friend, we only ask you to fill out one of our online admission forms. Then
we will take care of all necessary arrangements, and get back to
you as soon as possible

Please take the time to fill this out as accurately as
possible. We will treat the information with confidentiality
and only pass it on the correct professionals in order to make an
informed decision. Thank you for your time and patience.

Confidentiality Policy

The information you provide will be treated in strict confidence
and will not be disclosed to a third-party except in connection
with any treatment that we arrange on your behalf.

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Addiction Clinic Admissions

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