New Patient Forms

To improve the quality of patient care and to assist with utilizing your time as efficiently as possible, please complete and bring this with you for your assessment. The Patient Assessment Survey, administered by Hill Alcohol & Drug Treatment, measures patient needs. All information is confidential and is not intended for public use.

Download the form here.

New Patient Form for Adults

New Patient Form for Adolescents

If you want to fill out the form online instead, continue below.

If you’re feeling stuck, overwhelmed, tired, and you need help finding your way, Hill Recovery can help.
Hill Recovery, Alcohol and Drug Rehab Center
© 2019 All Rights Reserved. Hill Recovery - Alcohol and Drug Treatment Center. | Client Portal