SIGN UP for DUII/Other AOD INTAKE SESSION

COVID-19 CORONAVIRUS ANNOUNCEMENT: We are accepting new patients and scheduling intakes during our regular intake days and times.  We are encouraged and humbled you are seeking our help at this time and will do whatever we can to be here in person, video conference or by phone. 
DO NOT USE THIS FORM IF YOU DON'T NEED SUBSTANCE USE DISORDER SERVICES: See the Domestic Violence and Anger Management pages to sign up for those program intakes.

PLEASE READ THESE INSTRUCTIONS BEFORE SUBMITTING INTAKE FORM: FIRST CHECK THE CALENDAR FOR AVAILABLE INTAKE DATES at the regularly scheduled days and times.
(unavailable dates will have "CANCELLED" on the calendar event title).Please give at least 24 hours notice.Same day appointments cannot be guaranteed.
FOR INTAKES OUTSIDE THE REGULAR DAYS AND TIMES: After completing the intake form and entering the date of your requested appointment- CALL 503-719-5250 or email infoinfo@terasinc.org to confirm the day and time needed
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 *Some ADES's may not give you "credit" towards your abstinence time until the evaluation appointment is complete.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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