Narcotic Addiction Treatment
8741 Laurel Canyon Blvd, Sun Valley, CA
Program Admission Form
For your convenience, you may print out a hardcopy of our Patient Intake form. You may complete this form in the privacy of your own home and bring it into the clinic with you the day of your admission.
All patient information is strictly confidential and protected under the Federal regulations governing Confidentiality and Drug Abuse Records, 42 C.F.R. pts 160 & 164, and the Health Insurance Portability Act of 1996 (“HIPAA”), 45 C.F.R. pts 160 & 164, and cannot be disclosed without your written consent unless otherwise provided for by the regulations.