Provider Referral

Effective addiction treatment encompasses care for each patient’s unique physical, emotional and social needs through collaboration between AppleGate staff and other physicians, treatment providers and mental health professionals in the communities we serve.
 
If you would like to refer a patient to an AppleGate Recovery clinic, please complete the following form and an admission professional will be in touch as soon as possible.

Provider Referral
Caller Information

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Patient/Client Information