INPATIENT DRUG & ALCOHOL INTAKE FORM:

Rocky Mountain Treatment Center-Great Falls, MT


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

IN-NETWORK with these insurance companies.

Allegiance
Bluecross
Mountain health
Cigna
PacificSource
Beacon
Aetna
United healthcare

WORKING TOGETHER TO END ADDICTION

Admissions: PHONE: (406) 952-1019 / (844) 443-9111 / FAX: (406) 952-1021

In-Network with most Insurance Companies and Private Pay Accepted. Excludes Medicare/Medicaid.
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

Please fill in below:

 

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