Inspire Counseling & Support Center
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      • Family Systems in Addiction
      • Batterer’s Interventions Program (only in Florida)
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INSPIRE COUNSELING & SUPPORT

E-fill & Sign Forms

  • Indianapolis Outpatient
  • Wichita Outpatient
  • Kissimmee Outpatient
  • Leominster Outpatient
  • Memphis Outpatient
  • St. Cloud Outpatient
  • Residential Intake
  • Medication Assisted Treatment
  • Photo/Video Release Form
  • Privacy Practices Notice
  • Internal Docs

Verification of Benefits | Release of information | Updated Client Intake Packet 

Credit Card On-File Consent | Safety Plan | Intern Provider Consent | Verification of Benefits | 2023 Intake Packet

HMIS ROI | Kissimmee Outpatient Intake Packet | Kissimmee Spanish ROI | Credit Card On-File Consent | Kissimmee Outpatient Spanish Intake Form | Kissimmee Safety Plan | Kissimmee ROI | VA ROI | BIP Intake Packet | Kissimmee Aftercare Plan-English | Kissimmee Aftercare Plan-Spanish | Intern Provider Consent

CANS Consent Form | Credit Card Authorization Form | Telehealth Consent Form | Intern Consent | Release of Information | Employee Agreement | MA VOB | Intake Packet

 Intake Packet | Intern Provider Consent | Credit Card On-File Consent | Safety Plan

St. Cloud Outpatient Intake Packet | BIP Intake Packet | Telehealth Consent Form | Release of Information | PHP Handbook | Intern Provider Consent | Aftercare Plan | Spanish ROI | Credit Card On-File Consent | Vivitrol Consent Form

Application for Admission

Suboxone Consent | Vivitrol Income Verification | Suboxone Income Verification

Consent Form

Privacy Practices Notice

Business Card/Bio Form  | Marketing items Request Form | Webpage Request Form

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Inspire, Inc. is a not-for-profit 501(c)3 organization. | Designed by: Get The Clicks

Auxiliary Aid Statement

Privacy Practices Notice