»»   GETTING HELP NOW

If you're serious about treatment for yourself OR you know someone who is and want immediate answers to your questions please provide the following information.

If your inquiry is received between the hours of 6:00 am and 8:00 pm (pacific standard time) Monday through Sunday you can expect a telephone call from one of our admissions specialists within two hours. If your inquiry is received after 8:00 pm (pacific standard time) Monday through Sunday you can expect a telephone call from one of our admissions specialists the following day.

Be assured that your inquiry will be kept confidential. It's not only the law, it's our promise.

First name: 

Email address: 

Telephone number: 

Street Address: 

City, State, Zip,Country: 

Are you willing to travel outside your geographic area? 
 yes
 no

Are your concerns for yourself, a friend, family member, or client? 

What substances are your concerns related to? 

Do you have health insurance? If so, please provide insurance name and group number: 

 
Does TREATMENT CONCIERGE have your permission to share the above information with potential treatment centers that match your needs and / or requirements? (yes or no)