Family Questionnaire

Please complete our Family Questionnaire prior to admission. This information helps us to determine the best treatment plan for you or your loved one. Please print the below file, complete it, and bring it with you at the time of admission to HVRC.

Family Questionnaire

As part of the admissions process, we request that you or your loved one complete a Family Questionnaire. The information you will be providing on this form assists us in determining the best addiction treatment program for you or your loved one. As a convenience, you can access the Family Questionnaire here, print it, complete it and bring it with you at the time of admissions to Hemet Valley Recovery Center.

Hemet Valley Recovery Center remains open and accepting patients, we will continue to follow the CDC guidelines regarding COVID-19. Click here for more information or call 866-273-0868.
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