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Utah Heroin Addiction Treatment Program
Ardu Blog
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Menu
Home
About
Meet The Staff
Facility Photos
Drug and Alcohol Rehab Center
Addiction Specialists
Holistic Approach To Addiction Treatment
Addiction Treatment Services
Mens Rehab Program
Womens Rehab Program
Young Adult Rehab Program
Dual Diagnosis Treatment Center
Mental Health Treatment Center
Utah Depression Treatment Center
Detox Programs
Drug Detox Center
Alcohol Detox Center
Opioid Detox Center
Opiate Detox Center
Heroin Detox Center
Medical Detox Center
Utah Benzodiazepine Taper Program
Mindfulness-Based Relapse Prevention
Rehab Programs
Addiction Therapy Services
Individual Therapy Program
Family Therapy Program
Group Therapy Program
IV Amino Acid Therapy
Exercise Therapy Program
Cognitive Behavioral Therapy
Dialectical Behavior Therapy For Substance Abuse
Nutritional Therapy Program
Alternative Medicine Therapies
Drug Rehab Center
Alcohol Rehab Center
Inpatient Rehab Center
Residential Treatment Center
Center for Integrative Medicine
Mindfulness Based Interventions
Motivational Interviewing Utah
Mindfulness Based Stress Reduction Program
Admissions
What To Bring To Rehab
Insurance Verification
Substance Abuse Treatment
Drug Addiction Treatment Program
Alcohol Addiction Treatment Program
Prescription Drug Addiction Treatment Program
Utah Opioid Addiction Treatment Program
Utah Opiate Addiction Treatment Program
Cocaine Addiction Treatment Program
Marijuana Addiction Treatment Program
Benzo Addiction Treatment Program
Meth Addiction Treatment Program
Utah Heroin Addiction Treatment Program
Ardu Blog
Contact
Medicaid Information
Home
About
Meet The Staff
Facility Photos
Drug and Alcohol Rehab Center
Addiction Specialists
Holistic Approach To Addiction Treatment
Addiction Treatment Services
Mens Rehab Program
Womens Rehab Program
Young Adult Rehab Program
Dual Diagnosis Treatment Center
Mental Health Treatment Center
Utah Depression Treatment Center
Detox Programs
Drug Detox Center
Alcohol Detox Center
Opioid Detox Center
Opiate Detox Center
Heroin Detox Center
Medical Detox Center
Utah Benzodiazepine Taper Program
Mindfulness-Based Relapse Prevention
Rehab Programs
Addiction Therapy Services
Individual Therapy Program
Family Therapy Program
Group Therapy Program
IV Amino Acid Therapy
Exercise Therapy Program
Cognitive Behavioral Therapy
Dialectical Behavior Therapy For Substance Abuse
Nutritional Therapy Program
Alternative Medicine Therapies
Drug Rehab Center
Alcohol Rehab Center
Inpatient Rehab Center
Residential Treatment Center
Center for Integrative Medicine
Mindfulness Based Interventions
Motivational Interviewing Utah
Mindfulness Based Stress Reduction Program
Admissions
What To Bring To Rehab
Insurance Verification
Substance Abuse Treatment
Drug Addiction Treatment Program
Alcohol Addiction Treatment Program
Prescription Drug Addiction Treatment Program
Utah Opioid Addiction Treatment Program
Utah Opiate Addiction Treatment Program
Cocaine Addiction Treatment Program
Marijuana Addiction Treatment Program
Benzo Addiction Treatment Program
Meth Addiction Treatment Program
Utah Heroin Addiction Treatment Program
Ardu Blog
Contact
Menu
Home
About
Meet The Staff
Facility Photos
Drug and Alcohol Rehab Center
Addiction Specialists
Holistic Approach To Addiction Treatment
Addiction Treatment Services
Mens Rehab Program
Womens Rehab Program
Young Adult Rehab Program
Dual Diagnosis Treatment Center
Mental Health Treatment Center
Utah Depression Treatment Center
Detox Programs
Drug Detox Center
Alcohol Detox Center
Opioid Detox Center
Opiate Detox Center
Heroin Detox Center
Medical Detox Center
Utah Benzodiazepine Taper Program
Mindfulness-Based Relapse Prevention
Rehab Programs
Addiction Therapy Services
Individual Therapy Program
Family Therapy Program
Group Therapy Program
IV Amino Acid Therapy
Exercise Therapy Program
Cognitive Behavioral Therapy
Dialectical Behavior Therapy For Substance Abuse
Nutritional Therapy Program
Alternative Medicine Therapies
Drug Rehab Center
Alcohol Rehab Center
Inpatient Rehab Center
Residential Treatment Center
Center for Integrative Medicine
Mindfulness Based Interventions
Motivational Interviewing Utah
Mindfulness Based Stress Reduction Program
Admissions
What To Bring To Rehab
Insurance Verification
Substance Abuse Treatment
Drug Addiction Treatment Program
Alcohol Addiction Treatment Program
Prescription Drug Addiction Treatment Program
Utah Opioid Addiction Treatment Program
Utah Opiate Addiction Treatment Program
Cocaine Addiction Treatment Program
Marijuana Addiction Treatment Program
Benzo Addiction Treatment Program
Meth Addiction Treatment Program
Utah Heroin Addiction Treatment Program
Ardu Blog
Contact
801.810.1234
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MEDICAID SCREENING
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MEDICAID SCREENING
Full Name
*
First
Last
Date of Birth
MM slash DD slash YYYY
Medicaid ID number
Best number to reach you at
Email address
*
Do you have outside support?
*
Yes
No
Aside from treatment
Do you have any sex offense charges?
*
Yes
No
Do you have a way to pay for your co-pay’s for medication?
*
Yes
No
The card will be needed before entering treatment
Recent treatment stays in the last 90 days? If so where?
Have you been incarcerated in the last 90 days?
*
Yes
No
Do you have any court dates in the next 60 days? If so do you have family that will transport you there and back?
*
Are you on probation or parole? If yes, are you court ordered to treatment?
*
Past or present mental health diagnosis? If so what was it and who gave you the diagnosis?
*
Are you going to need to detox? If so off of what?
*
What have you used in the last 2 weeks? How much? How often?
*
Do you have any medical issues that would get in the way of participating in treatment?
*
Are you on any medications? If so, what are they? What dose?
*
Do you plan on going to sober living after treatment? If so where and how will you be paying for it?
*