Thank you for taking the step towards recovery with us. We are ready to help you on your journey to a new and better life.
If you are able, please print and fill out the new patient forms below. At Life Spring Recovery, we want your visits to be as smooth as possible and filling out your paperwork ahead of time will greatly speed up your first appointment.
We accept many forms of insurance including Medicaid, Medicare, and some commercial insurances. Cash payments will only be accepted for non-insured individuals. Please contact the office for information on our self-pay policy.
The Life Spring Recovery family looks forward to meeting you!
NEW PATIENT FORM
NOTICE OF CONFIDENTIALITY FORM
PATIENT FINANCIAL RESPONSIBILITY FORM
BRIEF ADDICTION MONITOR FORM
MEDICATION LIST FORM
MANDATED COUNSELING & PILL COUNT FORM
PROHIBITION ON REDISCLOUSRE OF INFORMATION FORM
SMOKING, LITTER, LOITERING POLICIES FORM
If you have have questions regarding your appointment, please call or email us below.
Columbus Office- 614-751-1871
Lancaster Office - 740-653-2533
Newark Office - 740-899-4155
Walk-In Patients Are Welcomed Schedule Permitting