INPATIENT DRUG & ALCOHOL TREATMENT INTAKE FORM:

Rocky Mountain Treatment Center - Great Falls, Montana


MEDICALLY MONITORED DETOX – 30/60/90 DAY INPATIENT PROGRAMS

Heart, Hope, Honesty and Compassion


WE'VE BEEN THERE. WE CAN HELP!

Admissions: PHONE: (406) 453-5080 / FAX: (406) 727-8172

In-Network with most Insurance Companies and Private Pay Accepted. Financing available through a reputable third-party lender. Medicare and Medicaid are not currently accepted as a form of payment.


Please call us if you would like us to assist you in completing the Intake Form.
We appreciate the opportunity to work with you!

IN-NETWORK with these insurance companies.

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Please fill out the Client Intake Form below. All information is kept strictly confidential. One of our compassionate admissions counselors will reach out to you after you submit the form. Thank you!

 

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