Which Program is Right for Me?

This questionnaire provides an initial recommendation based on your responses. However, a comprehensive clinical assessment by our treatment team is required to determine the most appropriate program for your specific needs and circumstances.

After submission, you'll receive a preliminary program recommendation. Our assessment team will then contact you (if you consented to a phone call on the form) to discuss the results and schedule a comprehensive assessment to determine your final treatment plan.

Yes, all information you provide through this form is kept secure and confidential. We take your privacy seriously and maintain strict standards to protect your personal information.

Treatment level determination must be made by clinical staff through assessment, not by patients. While you may prefer certain options, our clinical professionals will determine the most appropriate level of care based on your addiction severity, medical history, and recovery needs.