Thank you for taking this important step.

Your responses indicate that you or your loved one is not likely addicted to alcohol or drugs. If you are still concerned, you can request a free screening below or call 800-767-4411 to learn more.

“Although the road to recovery from addiction may seem daunting at first, we want you to know that you are never alone. We are here for you every step of your journey, and are ready to provide you support and hope to help you get your life back.”
-Dr. Michelle Maloney, executive director of Addiction Services

Next steps

If you would like to learn more about the treatment we provide and how we can help, please fill out the free, confidential screening request form below. We’ll assess your needs and an intake specialist will call you back as soon as possible to schedule a telephone screening. Please know we will respect your privacy and comply with HIPAA regulations throughout the process.

Screening request

Where are you seeking treatment? Required

This screening is for Required

Your name—if screening is not for you

This screening is about (To see the full listing of services offered at each location, visit the program directory or the appropriate location page. Not every service below is offered at each location.) Required

How old are you/is this person? Required

Patient name Required

Email Required

Phone Required

Voice Message Required

City Required

State Required

Postal Code/ZIP Code Required

How did you hear about Rogers? Check all that apply.

Internet search or social media

Professional referral

Word of mouth, personal referral, or general reputation

Community event or conference

Thank you for taking this important step.

Your responses indicate that you or your loved one is not likely addicted to alcohol or drugs. If you are still concerned, you can request a free screening below or call 800-767-4411 to learn more.

Next steps

Screening request

Call 800-767-4411 or go to rogersbh.org to request a free screening.