Treatment-Centers.net

Wednesday, May 16th

Last update03:35:35 AM

The addiction assessment we use is a biopsychosocial evaluation and assessment. This type of drug and alcohol assessment takes into account information from a person's biology, psychological make-up, and social interactions to assess the severity of an individual's addiction.

Our assessment can be taken for yourself or for someone you know.

Fill Out The Form Below To Receive A Call From One Of Our Qualified Addiction Specialists, Or Call Us At 1-877-335-4673 (HOPE) For Help Now!

This online service is provided free of charge, and all information received from clients is completely confidential. Response time is usually 24 hours or less in the form of a confidential e-mail or telephone interview. In most instances a Treatment-Centers.net counselor will attempt phone contact to better assess the situation. In the event of a phone call Treatment-Centers.net will only identify themselves to the contact person listed below, and will advise all others that this is a personal call and will not disclose who we are or why we are calling. Please fill out the assessment form to the best of your ability. All fields are not required, and remember - disclosing personal information is not required for assistance or a treatment referral. Confidentiality is of the utmost importance at Treatment-Centers.net. We're here to help!

 
Note: any and all information submitted is completely confidential
 
 
Last Name :: This information is recommended but not required - all correspondence with Treatment-Centers.net is completely confidential in full recognition and cooperation with Federal HIPPA laws.
 
Email Address :: A valid email adress of the form email@yourdomain.com is required
 
Phone Number :: Please include area code or country code if outside US
 
 
 
 
 
 
 
 




















What Is/Are The Primary Drugs of Abuse? :: Check All That Apply
 

Drug History

 
 
 
 
 
 
 
 

Medical History

 
 
 
 
If Yes, Please Select The Type of Insurance The User Has :: Private health insurance is provided by companies like Blue Cross, Aetna, Cigna, and many full time employee benefits offer private PPO health insurance plans. These plans are the most likely to pay for private treatment. HMO plans are offered by the same private health insurance companies, but tend to have less sufficient inpatient substance abuse benefits - it is best to conact the insurance company to understand these benefits, as they vary for each individual plan. Medicare and Medicaid are publicly funded insurance plans and are not generally accepted at private pay treatment centers. Medicare and Medicaid will only pay for publicly funded treatment centers. Please search the treatment directory's treatment locator to find the publicly funded treatment centers in your area if the only insurance available is Medicare or Medicaid.
 
If Necessary, How Much Out-of-Pocket Money is Available for Private Rehab? :: quality private rehab starts around $10,000 for 30 days of treatment without medical isurance. If there is no money or insurance to pay for treatment, you need to look for publicly funded rehab in the user's area by using the treatent center locator in the drop down of the Treatment Directory tab.
 
 
 
 
  
Security Image :: Please enter the text exactly as it appears in the image (Case Sensitive)
 
 

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Treatment-Centers.net is a public benefit service which provides drug addicts, alcoholics, dual diagnosis sufferers, and individuals suffering from other addictions with the largest publicly rated treatment directory online.  About Us

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  • Tel: 1-855-280-HOPE (4673)
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