Client Intake Form

Please Fill Out Our One-Page Intake Form to Begin the Admissions Process.
Call us at 406-453-5080 if you need assistance completing the Intake Form, and our Admissions Team will walk you through the form step by step. You can also scan and email us the form at info@rehabrocky.com, or Fax us the form at 406-727-8172.

You Can Also Submit the Client Intake Form Online. All Information is Kept Secure and Strictly Confidential

I truly enjoyed the time that I spent at Rocky Mountain Treatment Center! The facility is clean and organized. The staff is attentive and very compassionate. The activity schedule keeps you busy and focused on recovery. I'm confident that I made the right choice by checking into this center. I'm almost a year sober and have no doubt that Rocky Mountain will always be there if I need any further assistance with my sobriety. I recommend this center above anywhere else. If you or a loved one need/want help, call or stop by and get what I got. SOBER!!!
- Scott

The one on one counseling paired with the great groups was amazing. We were able to attend regular meetings and do equine therapy multiple times a week, this gave me more motivation than my prior treatment experiences. I enjoyed their staff, and being able to attend church if I so desired. This was a real turning point in my life and I have remained clean for over 9 months. I understand my addiction now, and how to better handle my self in weak times in my life. My freedom from meth, pills, pot, and many other things has been such a relief. I feel like a different person entirely after completing treatment and going through family week. Thanks!!
- Karli

Rocky Mountain saved my life.  I was "terminally unique" when I came.  I had a rationalization for all the craziness in my life caused by alcohol - the common theme being it was someone else's fault.  The staff here get it - most of them are in recovery themselves.  They were able to show me my "stinking thinking" and gave me the tools to live a meaningful sober life.  I am eternally grateful.  Thank you, thank you, thank you to the whole Rocky Mountain team!
- Thomas