• 844-652-8219
  • Contact Us
Rise Recovery
  • Most Insurance Accepted
  • 844-652-8219
  • Youngstown · Warren · Newton Falls · Alliance
Rise Recovery
  • Home
  • About
    • Philosophy
    • Payment Information
    • Good Faith Estimate
  • Services
  • What to Expect
  • Info for Families
  • Forms
  • Telehealth
  • Baby on Board
  • FAQs
  • Blog
  • Contact
Forms and Documents

Forms

Here are important forms and documents for our patients.

  • Patient Intake Form (Please print and bring to initial appointment)
  • Information for Family Document
  • What To Expect at Appointment Document
  • Frequently Asked Questions Document
  • Alcohol or Narcotic Anonymous Meeting Attendance Record
  • Sliding Fee Scale Application Form
  • Sliding Fee Scale
Rise Recovery
  • Home
  • Philosophy
  • Payment Information
  • Services
  • What to Expect
  • Info for Families
  • Forms
  • FAQs
  • Blog
  • Baby on Board
  • Contact

3132 Belmont Ave.Youngstown, OH 44505

1977 Niles Rd. SE. Warren, OH 44484

175 E. Broad St. Newton Falls, OH 44444

1390 S. Arch Ave. Alliance, OH 44601

© 2023 One Health Ohio. All rights reserved.