Corporate Wellness Patient Portal Patient Information Make A Payment

Please answer the following eleven questions as they relate to your life the past twelve months.

In the last 12 months….

"*" indicates required fields

1. Did you have strong desires or cravings for the drug?*
2. Did you want to cut back or stop using the drug, but couldn’t?*
3. Did you spend a lot of time trying to get the drug, using the drug, or recovering from using it?*
4. Did you have times when you used the drug more or for longer than you wanted to?*
5. Did using the same amount of drug have less effect than it used to? Or did you have to use more to feel the effect you wanted?*
6. Did you have withdrawal symptoms when you weren’t using the drug? Or did you use the drug to avoid having these symptoms?*
7. Did you continue to use the drug even though you thought it might be causing mental or physical problems – or making them worse?*
8. Did you use the drug even though you thought it might be causing problems with your family or other people?*
9. Did using the drug make it harder for you to keep up with your responsibilities at work, school or home?*
10. Did you spend less time working, enjoying hobbies, or being with others because of your use of the drug?*
11. Did you do something dangerous more than once after using the drug – like drive a car or operate machinery?*

Request an Appointment

Areas of Specialty

Substance Use Disorder
Substance Use Disorder Plus
Psychotherapy
Psychotherapy Plus
Mental Wellness
Mental Wellness Plus
Sleep Medicine
Sleep Medicine Plus
Alcohol Use Disorder Plus
Fentanyl Plus
Opioid Use Disorder Plus
Cocaine Use Disorder Plus
Heroin Plus
Benzodiazepines Plus
Prescription Drugs Plus
Hallucinogens Plus
Thank you! We will get back to you as soon as possible.

Request an Appointment

To set up an appointment, please fill out and submit this form and we will call you.

If this is an emergency, please call 911.

Name(Required)