New Client Questionnaire

Please complete and submit this form to provide us with information regarding your experience with addiction. These details will help us understand more about you and your story. We collect, use, store, and destroy your personal information in accordance with our Privacy Policy.

Click HERE for the online form, or download the PDF below.

Required for all New Clients.

Informed Consent

Please read, sign, and submit this form that indicates your understanding and acceptance of our Terms and Conditions.

Click HERE for the online form, or download the PDF below.

Required for all New Clients.

ADDICTION REALITY INC.

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