Drug Addiction Treatment Rehab Form

Drug Addiction Treatment Help Line

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Please fill in the confidential case assessment form below and we will contact you soon. If you need assistance immediately then dial the toll free number.

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If other than self please fill in Addict's first and last name
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Main Drug of Choice
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List any Drug Treatment previously attended and if program was completed
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Drug Addiction Treatment and Programs

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Heroin Addiction Treatment Heroin addiction falls under the heading of opiate addiction, which is the second leading addiction in our society; following alcohol addiction. Heroin is noted for having the highest euphoria potential of all opiates and is, therefore, prone to cause psychological addiction even if the user were to not become physically addicted. Heroin Addiction is defined as a state of physiological or psychological dependence on a drug liable to have a damaging effect.

Cocaine Addiction Treatment Even though many law enforcement policies and officials refer to cocaine addiction as a narcotic addiction, this is incorrect. Narcotics is a term used to refer to those substances that bind opiate receptors and produce morphine-like effects. This
includes the entire class of opiates and some other drugs as well. Cocaine addiction is the addiction to a stimulant. Derived from the coca leaves.

Crystal Meth Addiction Treatment Crystal Meth addiction and abuse has three patterns: low intensity, binge, and high intensity. Low-intensity abuse describes a user who is not psychologically addicted to the drug but uses crystal meth on a casual basis by swallowing or snorting it. Binge and high-intensity abusers are psychologically addicted and prefer to smoke or inject Crystal Meth to achieve a faster and stronger high. Binge abusers use crystal meth more than low-intensity abusers but less than high-intensity abusers.

Crack Addiction Treatment Cocaine is usually sold on the street as a fine white powder and is generally either sniffed into the nose or injected by needle into a vein, with the latter being the type of administration that is most common with cocaine addiction. When cocaine is boiled or cooked with sodium bicarbonate, it is converted into a freebase form called crack cocaine and is more addictive than before and is relatively cheap per dose.

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