Menu Close

Thanks for Checking Your Insurance

  • Home
  • Thanks for Checking Your Insurance
    •

We Appreciate You Reaching Out for Help

Your request has been sent to our caring team and we will contact you as soon as possible. With over 10 years in service in the Treasure Island, Florida, and Joint Commission Accreditation, we are 100% committed to providing you with the treatment needed to turn your life around. For more immediate assistance please call (877) 954-3908            

Footprints Beachside Recovery

Today is a good day to ask for help.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Your Name*

Have Questions? We're here to help.

(727) 954-3908

Rehab Assessment

Step 1 of 10

Welcome!

We\'re here to help you find the right treatment options. Please answer a few questions so we can better understand your needs and connect you with appropriate resources.

Who are you seeking treatment for?

Do you have insurance?

What is your age range?

What is your gender?

Have you ever been to treatment before?

What led you to seek treatment?

Select all that apply

How would you prefer to communicate?

Contact Information

Please provide your contact details so we can follow up with personalized information.

When is the best time to reach you?

Note: This assessment is meant to help us understand your situation and provide guidance. It is not intended as medical advice or a substitute for professional assessment. For any medical concerns, please consult a qualified healthcare provider.