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 email@example.com.
Drug Self-Assessment Results
You most likely have an issue with drug use.
The answers you provided indicate that you most likely have an issue with controlling your use of drugs. You are not alone; we are here to help. Contact our care team to discuss getting a more in-depth assessment and what treatment programs would be best suited for your individual needs.
* By submitting this form, I agree to be contacted by Fora Health Treatment and Recovery at the phone number and/or email provided. If indicated, I authorize Fora Health to leave messages for me including Fora Health’s name, the return caller’s name, and contact information. I understand that in so doing, Fora Health cannot protect this information and that others with access to my electronic equipment (e.g., mobile phone, voicemail, email, or computer) could have access to this message. We do not share this information with any outside organizations.