Apply to Hellenic Practice

Do you or a loved one need treatment for addiction and mental health treatment?

Our pre-admission questionnaire is the quickest way to get started. In this screening, we ask you to share details about the applicant’s history of mental health, substance use, and medical condition. The application is confidential, secure, and stored on HIPAA-compliant servers.

Answering our questions accurately will help us understand your situation

To best address the applicant’s treatment, we request a comprehensive history of substance use and medical treatments related to mental health and substance use disorders. Please share as much information as possible. It helps us personalize our approach to the applicant’s treatment.

Filling out the application for someone else?

While we understand it may be difficult, we ask you to be as thorough and accurate as possible when applying on someone else’s behalf. Please use the information of the individual who will be attending treatment.   If you do not know specific information, or if you have any questions or concerns as you are filling out the questionnaire, please feel free to call us directly at USA Ph. No. +1-281-699 9070 Call or SMS, in Greece +30 698 2057440 WhatsApp Available.

Your application is confidential

Any information submitted is transmitted through a secure connection and stored on HIPAA-compliant servers. We take your privacy very seriously. At Hellenic Practice, we are committed to protecting your personal information.

 

Complete this Pre-Admission form

Personal information

Patient admission form

Please answer the questions below to your best ability. If you have any questions, please contact us by e-mail at info@hellenicpractice.com Greece Ph. No. Call or SMS +30 698 2057440 Whatsapp available.