Thank you!

Let us know if you need help with anything! Simply call us or email us at support@renewalcenter.org.

Thanks for choosing and trusting Renewal!

Need to read or sign more forms?

Support Documents

Please read these documents before filling out any intake forms. These documents contain all the information you'll be agreeing to for services with us at Renewal Center.

Treatment Consent

HIPAA Notice

Telehealth Consent

Intake Forms

Please fill out each form in this section. For the Psychosocial form, choose whether you are an adult or a parent/guardian of the client.

Service Agreement

Medical History

Release of Information

Adult Psychosocial History18 and over

Child Psychosocial History17 and younger

Additional FORMs

Payment Authorization

Document Submission

Insurance Submission

Release of Information

No-Show / Late Cancel Appeal