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Addiction Assessment Form

Insurance Questions or Need to Verify Insurance? Please see our Insurance Accepted page.
Residential addiction rehab financing options are available to those who qualify. Check our rehab financing possibilities at Prosper.

If you are interested in Arrowhead Lodge Recovery residential addiction treatment program, please submit the form below. Or, call Robyn at (888) 654-2800 to receive personalized help in finding the right program for you or your loved one.

Addiction Assessment Form

If you are interested in Arrowhead Lodge Recovery residential addiction treatment program for mature men in Prescott, AZ – please submit the form below. Or call (888) 654-2800 to receive personalized help in finding the right program for you or your loved one.












(Include name of the facility, 12-step, etc.)


(How long did the addict stay clean, etc?)