If you have been referred to a treatment program with us, you may start the enrollment process by completing the following forms.   

‘By submitting this form electronically, you are giving us your consent to send you SMS messages regarding important updates, appointment reminders, and information related to your treatment. Standard messaging rates may apply. To opt-out, reply 'STOP' at any time. Please note that SMS messages are not a substitute for in-person or emergency care.

No Mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.