River Centre Clinic - Initial Information Form
Overview of Typical Admission Process
1.
Contact us by phone. If you are considering admission to our treatment program, please call toll-free 1-877-212-5457 or 419-885-8800 to speak to our Intake Coordinator.

You begin the admission process by completing the Initial Information Form on our website. This online form tells us about you, your treatment needs, and your insurance information. Information you provide on this form is confidential and will be reviewed only by our Intake Department and senior clinical staff members so they can assist you in exploring treatment options.

Filling out this form does not obligate you to treatment. After completing the form, you may decide that you are not interested in receiving treatment at River Centre Clinic. In this case, we will permanently remove all personally identifying information from your record.



2.
Complete the Initial Information Form
After we receive your completed Initial Information Form, our Intake Department will contact you confidentially by phone or by e-mail, and discuss and answer your questions. Topics discussed typically include one or more of the following areas:

Eating Disorder Treatment Programs
Treatment Costs
Verification of Insurance Benefits
Determining the level of care needed
Admission procedures
Living arrangements
Lengths of stay
Working with your existing professional treatment team
3.
Begin the Admission Process
If admission is appropriate, our Intake Department will discuss the next steps in the admission process:

Interview
Our Intake Department will schedule a face-to-face or phone interview to discuss your expectations for admission.
Medical Testing
We may ask you to obtain several medical tests from your physician, such as:
 
Blood tests to assess electrolytes and other biological systems
 
Electrocardiogram (EKG) test to assess heart functionings
Admission Forms
We will ask you to complete several standardized forms to provide additional information about you, your background, previous treatment experiences, and current functioning.
4.
Schedule an admission date
Once the Interview, Medical Testing, and Admission Forms have been completed, we will schedule a date for admission to River Centre Clinic.

WE VALUE YOUR PRIVACY
To ensure your confidentiality, after a decision is made about treatment, we remove identifying information (including your name, address and e-mail address) and place it in another location to ensre that the information you provide remains confidential. All identifying information will be destroyed one month after your initial submission if you check the appropriate box at the end of the following information form.
Disclaimer
The information provided on this website is intended to complement the relationship between the patient and his or her therapist, and is not a substitute for medical and/or psychological treatment. The staff of The River Centre Clinic cannot provide a diagnosis via email, but we will be happy to send you information and assist you in finding appropriate resources.
Initial Information Form
 
 
 
|
|
|
|
|
|
Copyright © 1999-2009 River Centre Clinic, Inc. All Rights Reserved
 
Site by: CyberPro911