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  Low Cost Drug Rehabilitation Treatment Centers Kentucky


Our Low Cost Drug and Alcohol Treatment Programs Assessment is a free service to the public in Kentucky. 

Low Cost Drug Treatment Programs Kentucky Assessment form is a public benefit service for those seeking to enter into a treatment program in the state of Kentucky for addiction. Please fill out the Low Cost Treatment Programs Kentucky Assessment form and a counselor will call within 24-48 hours. If you are in need of immediate assistance Please call our toll free number and we will help you 24 hours a day 7 days a week   


Low Cost Drug Rehabilitation Centers help line is a free service to the public in Kentucky. Our service is part of a public benefit service and our volunteers are waiting on your call. We know what it is like to be addicted to Drugs, we are here to help you. All of our counselors are certified and have had prior addictions themselves. This gives us a unique perspective and experience in handling any type of addictive disorders. Please, either fill out the form below or call our toll free number. All information provided is confidential and subject to the HIPAA Privacy Act. Your form will be deleted once we have contacted you within 24 to 48 hours from the submission of your Free Online Assessment. If you are in need of immediate placement into one of our low cost drug rehabilitation centers please give us a call.  

Contact information: Fill out the Form below and we will Contact you ASAP.
 Your Name, First & Last
 Your Phone Number and area code
My e-mail address is:
Best time to call is, am  pm: Pacific-time, Mountain-time, Central-time, Eastern-time:
A). Medical History:

drugs and alcohol addictionDoes the individual have any medical problems? (Please describe)
     

drugs and alcohol addiction Is the individual currently taking any medications?  yes  no

     If yes, please specify what and length of use:
     

B). Legal History:

drugs and alcohol addictionDoes the individual have a valid drivers license?  yes  no

drugs and alcohol addictionHas the individual ever been arrested? (If so, for what)
     

drugs and alcohol addictionAre any crimes actively being committed to support, or as a result of the alcoholism or addiction?
     

C). Substance Abuse History:

drugs and alcohol addictionAt what age did the individual start using the substance?:

     

drugs and alcohol addictionDifferent drugs used:
     

drugs and alcohol addictionMethod of use:  
  Oral     IV-(Inject)     inhale(Smoke)     nasal(Snort)     Other

drugs and alcohol addictionPast treatment attempts (What rehab, when, results:
      

D). General Contact Information: 

drugs and alcohol addictionYour Relation to the Alcoholic/Addict:

drugs and alcohol addictionAlcoholics/Addicts Name:

drugs and alcohol addictionCity and State in which they live:

drugs and alcohol addictionCan they travel outside of this area for treatment?  yes  no

drugs and alcohol addictionHow old is the addict ?

drugs and alcohol addictionCurrent drug (s) their using:
     

 

 

Question/Comment/How can we help you:
 

Don't let another day pass you by lets start the healing process today. Life is too short to let it pass us by give us a call and we will work together to show you the life you deserve without the need for any addiction. 

 

  

 

            

Call one of our certified Counselors for immediate assistance. We will help get you placed into a Low Cost Drug Treatment program in Kentucky. 

          

Has Addiction taken over your life? Are you in need of an Affordable  Inpatient Drug Rehabilitation Center to handle your Addiction? Give one of our certified counselors a call   


Let us help you start a new life today. We have helped thousands of people find Affordable Treatment Centers. 

We know that entering into a treatment program in Kentucky is a huge step to take and the commitment to treatment can seem overwhelming. Our counselors are here to help guide you to the right Low Cost Drug and Alcohol Treatment Program in Kentucky for your Addiction. Entering into a Treatment Program will be the best decision you can ever make to handle Addiction. Our Low Cost Drug and Alcohol Treatment programsin Kentucky will change your outlook on life and even make you more successful. Do not wait until something adverse happens to commit to treatment for addiction. Give one of our counselors a call .    

 

 

Low Cost Drug and Alcohol Rehabilitation Centers help line  will assist you in finding the right Affordable  Treatment Program for Addiction. Call us Now and we will start the healing process.     





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