Screening Request

If this is an emergency, please call 9-1-1 immediately or go to the nearest emergency room.

Request a free screening to see if Rogers can help. 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. Healthcare providers can submit a provider referral to refer a patient.

Where are you seeking treatment? Required

This screening is for Required

Your name—if screening is not for you

This screening is about Required

How old are you/is this person? Required

Name Required

Email Required

Phone Required

Voice Message Required

City Required

State Required

Postal Code/ZIP Code Required

By submitting this screening request, you can expect a call from the Rogers team to schedule a complete telephone screening that will help to determine if there is a Rogers program appropriate for you.

John's Story

Real people sharing what they have overcome and how Rogers helped through their process.

John finally accepted his alcoholism and ... Read More

Screening Request

By submitting this screening request, you can expect a call from the Rogers team to schedule a complete telephone screening that will help to determine if there is a Rogers program appropriate for you.

John's Story

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