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What is the individual's date of birth?

AGE = {{ age }}

Why are we asking for this? Some treatment facilities have age limitations. By entering your age, we can eliminate facilities that will not be available due to the age of the client.

Why are we asking for this? Entering the zip code of the person seeking treatment can narrow the results by providing only those facilities that are within the search distance you provide.

Gender of person seeking treatment?

Why are we asking for this? Some treatment facilities only provide services to men or women. By selecting the gender of the person seeking treatment, we can eliminate facilities that do not accept clients of the gender you selected.

What drug(s) is most concerning for treatment?
(Select all that apply–if you don’t know, please skip to the next question)

Want to know other names for or learn more about what these drugs are? Check out the Recovery Research Institute’s ADDICTIONARY™

Has the individual undergone initial detoxification?

Why are we asking for this? Sometimes, the path to recovery starts with detoxification, which is a medical process treating the effects of withdrawal. Some treatment facilities do not have the necessary requirements to support detoxification, while others only offer detoxification before starting a traditional treatment program. Identifying when the person seeking treatment has already undergone detoxification will eliminate facilities that only offer detoxification from your search results.

Does the person seeking treatment need specific mental health treatment services in addition to substance abuse treatment services?

Why are we asking for this? Some treatment facilities recognize the need for both mental health and substance use disorder treatment. By selecting yes, the results will include facilities which will provide treatment for both mental health and substance use disorder.

Does the person seeking treatment desire to use Medication Assisted Treatment (MAT)?

Click on the “?” for more information regarding MAT

Is the individual a smoker?

Why are we asking for this? Some facilities offer smoking while others prohibit smoking. Your selection helps provide the most appropriate results based on your preferences.

Language preference selection

Why are we asking for this? Some facilities offer access to providers that speak multiple languages to accommodate clients with special language requests.

Is the individual hard of hearing?

Why are we asking for this? Some facilities offer services like American Sign Language and other accommodations for individuals that are hard of hearing.

Please identify the individual’s military status.

Why are we asking for this? Some facilities have specific programs focused on the military and veteran population.

Is the person seeking treatment an immediate family member of an Active Duty service member, or a member of the Guard/Reserve, or a Veteran?

Why are we asking for this? Some facilities have specific programs focused on the military and veteran families population.

Do you believe the individual needs specialized support because they have experienced trauma, domestic violence, or sexual abuse?
(Select all that apply–if you don’t know, please skip to the next question)

Why are we asking for this? Some facilities have specific programs focused on the individuals that have experienced trauma, domestic violence, or sexual abuse.

What type of payment/insurance/funding does the person seeking treatment have? (Select all that apply)

Why are we asking for this? Some facilities take certain types of insurance or payment. Your selection will identify the facilities that accept the type of insurance or payment you need. If you’re interested in identifying benefits you may be eligible for, please visit www.benefits.gov.

Does the person seeking treatment need any of the following payment assistance?

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