Client Application Form

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Client Application Form

All of our of programs are working closely with the Health Department and CDC guidelines to ensure we continue to provide safe and effective treatment for our clients. We remain open and are accepting enrollment.

Step 1 of 8

Client Information

Parent/Guardian/Sponsor Information

Placement Information

Placement/ Intervention History

Psychological History

Medical Information

Insurance Information

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Clinician-Run Substance Use Treatment For Young Adults

Get clinician-run holistic wellness for addiction recovery at Red Oak.