Thank you for considering Viewpoint Dual Recovery. To help us better understand your needs, please complete this form. Your responses will help our team see if our program fits your recovery journey.

What is your name? *

Who are you reaching out for? *

Patient's Name (if reaching out for a loved one) *

Your Email *

Your Phone Number *

This is for our intake team to contact you for additional information. We will never share this.

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Viewpoint Dual Recovery. Message frequency varies. Message & data rates may apply. You can reply STOP to unsubscribe at any time.

Our facility is located in Arizona, and we offer inpatient care, meaning patients must stay with us for a (potentially) extended period. Are you aware of this? *

We specialize in treating mental health conditions and dual diagnosis (mental health + substance use). We are not a traditional rehab center. Are you seeking treatment for mental health or dual diagnosis? *

Have you/a loved one previously received treatment for mental health or dual diagnosis? *

Please share a bit about why you are reaching out. *

What type of insurance do you have? *

Please note: Our program is typically not covered by Medicare/Medicaid. While we offer private pay options, it's important to know that treatment can involve significant out-of-pocket costs.

Are you prepared for an inpatient recovery center's potential extensive cash pay costs? If Yes, select "yes" below. If not, please exit the form now. *

Who is your Insurance Provider? *

E.g., Aetna, Blue Cross Blue Shield, United Healthcare

Thank you for your responses, our team will get in touch with you soon!

Please, Click Submit Below ↓