Questionaire

Admissions Questionaire

Inpatient & Outpatient Treatment


Call Anytime 24/7: 1-800-882-6201

Olalla Recovery Centers understands the importance of making informed treatment decisions. Our team is here to help answer questions, explain the treatment process, how to access care, and the finances associated with treatment services.

We are mindful of protecting your personal information. Our website is a secure site (https). You can complete the form below with your insurance information so our team can obtain a benefit quote from your insurance carrier immediately, or if you feel more comfortable providing the information directly to our admissions team, please call them directly at 253-857-6201 for residential treatment or 253-851-2552 for outpatient treatment.

 

Please complete the following form

We will get back to you very soon to discuss your needs.








    SelfSomeone Else


    Residential TreatmentOutpatient Treatment


    Funding Source

    YesNo








    YesNo














      SelfSomeone Else


      Residential TreatmentOutpatient Treatment


      Funding Source


      YesNo








      YesNo


















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