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

DAST 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

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