2 Crocker Boulevard  Suite 101

Mt. Clemens,  Michigan  48043

Phone:  586-468-2266

Fax:  586-468-4505 

Adult Substance Abuse/Dependence Intake

Intake Forms:

  • Intake Questionnaire
  • Welcome Letter

Additional forms:

Adult Mental Health Intake

Intake forms (please print, fill out and bring to your first appointment):

Additional forms (please review prior to your first appointment):

Nature Scene