Thank you for taking this important step.

Your responses indicate that you or your loved one may be addicted to alcohol or drugs. While the results of this quiz are not a diagnosis, 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

Location: Required

I am interested in:

Specialty treatment for my mental health or substance use disorder
Outpatient psychiatric services which includes medication management only (WI only)
TMS (available in West Allis, WI)

How would you like to receive your care:

Name: Required

Parent or Guardian Name:

Date of Birth: Required

Email: Required

Phone: Required

Primary Language: Required

Interpreter requested:

Ok to leave Voice Message: Yes

Thank you for taking this important step.

Your responses indicate that you or your loved one may be addicted to alcohol or drugs. While the results of this quiz are not a diagnosis, 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.