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Awakenings Recovery was founded by a family who has dealt with the struggles of addiction. As our recovery continues, we strive to help those seeking the best treatment for drug and alcohol addiction. We have assembled world class staffs to help you win your battle with substance abuse. Every woman deserve the best chance at winning this fight. We stand ready to help.

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What substances have you used?

• Alcohol
• Crack
• Cocaine
• Methamphetamine
• GHB
• Ecstasy
• Inhalants
• Ketamine
• Prescription Pain Killers (Morphine, OxyContin, Vicodin, Fentanyl)
• Prescription Benzodiazepines (Xanax, Klonopin, Valium, etc.)
• Marijuana
• Other Drug
• Eating Disorder
• Sex Addiction
• Other Addiction

How old are you?

When did you starting using drugs or alcohol?

Do you currently have medical problems? If so, please describe.

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Do you have funds available if insurance does not cover rehab in full? Yes No

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