INPATIENT DRUG & ALCOHOL TREATMENT INTAKE FORM:

Rocky Mountain Treatment Center - Great Falls, Montana


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

IN-NETWORK with these insurance companies.


Heart, Hope, Honesty and Compassion


WORKING TOGETHER TO END ADDICTION

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

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

Your office may also call and we will assist you in completing the Intake Form.
We appreciate the opportunity to work with you and your patients!

Click Here to Download the Patient Intake Form.

www.RehabRocky.com

Please fill in below:

 

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