Let’s Take the Next Steps Together
We understand taking the first step is difficult. There is no shame or guilt in asking for help or more information. We are here to support you in any way we can.
Gather insurance information, including Insurance Company (carrier), member ID (also known as subscriber ID or policy number), insured’s name, person requesting services for (if not yourself) DOB, phone, and email address, best time to contact.
Submit the form below. After we receive this information we will be in touch with you to help you decide next steps with treatment.
IMPORTANT: Thank you for your interest in Rimrock Foundation. We take your confidentiality seriously, and we strictly abide by HIPAA regulations and use the information you provide on this web form to find the right program for your loved one. We do not use your information for anything other than placement. By submitting this form, you are consenting to receiving emails and SMS text communications from Rimrock Foundation. For more information please see our privacy policy.
