• Consent for Alcohol and Other Drugs Treatment

    Fee Agreement and Receipt of Forms
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  • Miami Valley Recovery LLC provides services to individuals and/or their families who have substance abuse and chemical dependency problems. The staff members are trained to provide appropriate treatment and services as needed in this area.

    I have read and understand the information regarding consent to alcohol and other drug treatment and services. I have also received a copy and understand the following:

  • I AGREE to treatment offered by Miami Valley Recovery LLC

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  • Clear
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  • Should be Empty: