IMPORTANT: On February 14th 2024 a potential breach of data occurred within Fora Health. The breach was quickly contained and while no explicit evidence of stolen data was found we are taking this breach very seriously. There was no financial information included in the breach. Any patients who could have had exposed personal information viewed will receive a separate notification and we urge anyone with questions to reach out to Fora Health at firstname.lastname@example.org.
Withdrawal Management Referral
Read more about our Withdrawal Management Program
Adult Residential Referral Including Medically Monitored Residential
The Residential Interest Form is to be used for any patient interested in our Adult Residential or Medically Monitored Residential Treatment Programs.
Before filling out the secure online Residential Interest Form, it is important to review our treatment details and FAQs to ensure the person who is wanting treatment is able to do what is required of the program and that residential treatment is appropriate for them.
After we received the completed Residential Interest Form our care team will review the information and will reach out if additional information is needed. Our care team will contact you regarding next steps for admissions to our residential program.
Read more about our Adult Residential Treatment Program.
Read more about our Medically Monitored Residential Treatment Program.
If you need additional support about any of our services, call our care team at (503) 535-1151.