Outpatient Addiction Recovery & Therapy in MD | Integrative Counseling

Call Us: One Convenient Number for All 8 Locations (410) 740-8067
Our Locations: Annapolis, Columbia, Eldersburg, Frederick, Millersville, Rockville, Salisbury, Towson
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Forms

Please fill out these forms before your appointment

Forms

Please take the time to fill out the client intake forms before your first appointment.

Client Intake Form

Release of Information (ROI)

Brief Addiction Monitor (BAM)

Credit Card Authorization Form

Client Satisfaction Survey

Referral Source Survey

CareFirst Consent