Enroll Now! It’s Easy to Get Started
It is very easy to get started enrolling towards our outpatient rehab program and we can move as fast as you would like. We use a web-based, HIPAA compliant electronic health record system called mTreatment or MTX.
When you click on one of the below links it will direct you to create your mTreatment account. Please use your primary email as this is your unique identifying factor. You will create a password (minimum 8 characters, including 1 number, 1 uppercase, 1 lowercase, and 1 symbol) and a pin code (4 – 8 digit security code) then click ‘Continue’. Then, you will be asked to enter your First Name, Last Name, Gender, Birthday, and Phone number, then click ‘Continue’. You will then be sent a confirmation email to the email address you entered asking you to confirm the activation of your mTreatment account. Click the link in the email.
As soon as you confirm your account you will be redirected to the sign-in page. Once signed in, you will be brought to the document you clicked on. Fill in all the required fields on Page 1 then click the next button to go to page 2, so on and so on. If you see a red A inside a red square next to any of the fields, that is an auto-populate feature and that will auto-fill your Name, Birthday, Phone Number, Today’s Date and if you save your signature, it will auto-fill that too.
When you reach the last page in the document, and if you have filled in all of the required fields, the ’Next’ button will have changed to a ’Submit’ button and you will submit that document back to us. If the ’Next’ button is still appearing, that just means that you have overlooked a required field and the ’Next’ button will take you to the page where there is missing information. If the required field does not apply to you, then type ’NA’ for not applicable. Please finish and submit all 3 documents back to us and then give us a call at 833.997.2060 so that we can get you scheduled for the next available admission appointment.
If at any time you have any issues with completing the documents, please reach out to our office directly at 833.997.2060.
New Client Intake Documents
For Our Partners:
Peer Coaching / UDS Intake Documents
Other Documents (Optional):
Release of Information