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Enrollment Forms

Choose the enrollment packet for your service. 

Completed enrollment packets should be brought to your initial intake meeting or upon beginning the authorization process.


No referral is needed to begin.

Call the closest center to you or fill out our screening form and someone will get back to you.

Depending on insurance, other diagnoses may be covered.
We are happy to check your insurance benefits for you!​
Please note: We do not accept Tricare Military.

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