This is not an application for admission, and is for your information only. All information you submit will be kept confidential.
Submit the information below for a quick assessment of your financial options. If you don't have insurance or don't know all the policy details, fill out as much of the form as you are able. We will review your information and contact you about coverage and payment options.
We strive to work with our patients on an individual basis and to make therapy as accessible as possible for everyone who needs it.
At Northern Arizona Center for Addiction, we believe that healing of the body, mind and spirit are all necessary to overcome substance abuse. We offer a wide range of rehab options in order to facilitate your personal recovery. Our clients can go through drug and alcohol rehabilitation in a safe, comfortable environment, with holistic plans customized to their needs.
