TO WHOM IT MAY CONCERN:
DEAR APPLICANT;

THANK YOU FOR YOUR RECENT INQUIRY FOR INFORMATION IN APPLYING FOR ADMISSION TO OUR RESIDENTIAL INPATIENT TREATMENT PROGRAM.

THE ENCLOSED FAMILY HISTORY FORM SHOULD BE COMPLETED IN BLACK INK, SIGNED AND RETURNED AS SOON AS POSSIBLE TO THE ADDRESS BELOW, ATTENTION ADMISSIONS. IF THERE IS A PRIOR TREATMENT HISTORY, YOU SHOULD REQUEST A COPY OF THE DISCHARGE RECORDS AND MAIL OR FAX THESE TO OUR ATTENTION AS SOON AS POSSIBLE. OUR ADMISSIONS FAX NUMBER IS 918-256-6308 24 HOURS A DAY, SEVEN DAYS A WEEK. OUR VOICE MAIL TELEPHONE NUMBER IS 918-256-7841, EXT 603.

SINCE THIS MAY TAKE A FEW DAYS, PLEASE MAKE IMMEDIATE CONTACT WITH A.A/N.A AND ATTEND MEETINGS DAILY. A DOCUMENTATION SHEET IS ENCLOSED WHICH YOU WILL NEED TO BRING WITH YOU TO YOUR ADMISSIONS/ SCREENING APPOINTMENT.

PLEASE BE REASSURED THAT WE ARE SINCERELY INTERESTED IN YOUR DESIRE TO MAINTAIN AND/OR RETURN TO A SOBER LIFESTYLE. RETURNING THE FORMS AND OBTAINING PRIOR RECORDS IS THE FIRST STEP IN APPLYING FOR ADMISSION. ONCE THIS STEP IS COMPLETED, CONSULTS WITH THE VARIOUS TREATMENT TEAM MEMBERS ARE OBTAINED AND AN ADMISSION DATE IS SET BASED ON BED AVAILABILITY. THE ADMISSION TRIAGE SPECIALISTS MAY CONTACT YOU DURING THIS INTERIM PERIOD ON WEEKENDS OR EVENINGS TO CLARIFY ISSUES OR UPDATE YOU ON THE STATUS OF YOUR APPLICATION. NOTE: DO NOT GIVE ANY PHONE NUMBERS OF ANY PERSON THAT YOU DO NOT WANT TO KNOW THAT YOU ARE APPLYING FOR SUBSTANCE ABUSE TREATMENT ON THE APPLICATION.

THANK YOU FOR CONSIDERING VINITA ALCOHOL AND DRUG TREATMENT CENTER FOR YOUR NEEDS. WE LOOK FORWARD TO HEARING FROM YOU IN OUR COOPERATIVE EFFORT FOR A SUBSTANCE FREE LIFESTYLE.

SINCERELY,

VINITA ALCOHOL AND DRUG TREATMENT CENTER

*PLEASE NOTE: IT IS THE POLICY OF VADTC TO REQUEST IDENTIFICATION AT THE TIME OF ADMISSION. PLEASE BRING SOCIAL SECURITY CARD, DRIVERS LICENSE, OR BIRTH CERTIFICATE. ALSO ACCEPTABLE ARE CDIB CARDS, DD214, DHS ELIGIBILITY FORMS. PLEASE MAKE SURE YOU HAVE AT LEAST ONE OF THE ABOVE WITH YOU AT ADMISSION.

You may want to print this sheet out for your own records. Thank You..