Intake Forms & Admissions

At Ignite Recovery, we are honored to be part of your journey toward mental, emotional, physical, and higher-power supportive recovery. You are taking the first step toward a healthier, sober life - and we are here to guide and support you every step of the way.

Recovery is your journey, and your commitment is the most important factor. We provide structure, education, and clinical support, but the work of recovery begins with your desire for sobriety, peace, and personal growth.

Purpose of Intake Forms

The forms below help us understand your current situation, including your medical, mental health, and substance use history. Accurate and honest information ensures we can create an individualized treatment plan tailored to your needs.

By completing these forms, you help our team:
  • Assess your unique circumstances
  • Identify co-occurring mental health conditions
  • Develop a personalized outpatient treatment program
  • Support both you and your family throughout recovery

Please read each form carefully and complete it as honestly and accurately as possible. Your answers are confidential and vital to your success in treatment.

Next Steps

Once your intake forms are submitted, a licensed clinician will review them and schedule your initial assessment. This is the first step toward personalized outpatient addiction treatment designed to meet your needs and goals.

Call us at (385) 222-3737 if you have any questions or need assistance completing your forms. We are here to support you on your journey to lasting recovery.

Full Ignite Recovery Client Intake Form

You will meet with a member of our licensed clinical team to review your ASAM evaluation. During this meeting, we will conduct a formal assessment of your current situation and discuss treatment options that align with both clinical recommendations and your personal recovery goals.

Together, we will develop a personalized treatment plan- your roadmap for recovery, guiding you through every step of your time at Ignite Recovery.

We are excited to support you on this journey and help you explore the possibilities for a healthier, sober, and fulfilling life. If you have questions at any point, please don’t hesitate to reach out to our team.

Welcome to the Ignite Recovery community! We look forward to partnering with you on your path to lasting recovery.

The Ignite Recovery Team