Patient Information on Addiction Care
- NIDA - National Institute on Drug Abuse
- SAMHSA - Substance Abuse and Mental Health Services Administration
- NIMH - National Institute of Mental Health
- ASAM - American Society of Addiction Medicine
- AAAP - American Academy of Addiction Psychiatry
- APA - American Psychiatric Association
- The National Resource on ADHD
Contact Us
(239) 244-2070
Ketamine Treatment for Depression and Pain
In order to ensure that your visit is as swift as possible, please feel free to print and complete any of the following forms applicable to your visit. Arriving with all necessary paperwork greatly assists our staff in creating and updating your file while limiting your overall wait time.
Please contact our staff for more information.
Chronic Care Management Agreement (CCM)
Compared to Inpatient Addiction Treatment Centers
ACE Treatment is Affordable, Flexible, Available and Amicable
New Patient Forms
- New Patient Registration Form
- Patient Insurance Authorization Form
- Financial Policy
- HIPPA Privacy Authorization Form
- Consent for Access to Medication Information
- Authorization for Release of Information
- Power of Attorney Form
- Test Results Request Form
- Policies on Medication Refills and Authorization
- Policies on Delivery of Test Results