Pre-Assessment Form

We understand that meeting the necessary requirements for your recovery journey can feel overwhelming at times, but we’re here to make the process as quick and easy as possible. At Ray Recovery, we provide the guidance and support you need every step of the way.

To get started, simply complete the brief pre-assessment form below. This will help us gain a better understanding of your current situation and ensure that you receive the best possible care tailored to your needs. Once you’ve completed this form, you’re well on your way to completing your assessment.

Afterwards, our team will reach out to schedule your assessment, where you’ll have the option to either pay out of pocket or use your insurance.Your journey towards recovery starts here—let’s take the first step together!

Pre-Assessment

Personal Information:

Name
MM slash DD slash YYYY

Referral Information:

Additional Information

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