Elite Recovery

Mutual Responsibility Contract Acknowledgement

Start Your Recovery

Mutual Responsibility Contract Acknowledgement

Use this form to document your acknowledgement of a mutual responsibility contract, items required for completion, and your involvement in the treatment planning process.

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Client Information

Client Name*


Mutual Responsibility Contract Acknowledgement

Treatment Planning Process Explanation and Agreement*
Please review and acknowledge your agreement with the following process and terms.
By signing this form you’re attesting that you understand all of the information contained in this memo.
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What our customers say about us

Client Testimonials

I just want to pass on to you guys that I’ve had a life changing experience at your facility. I was on edge about outpatient services and didn’t know how it would impact my life and never would have imagined it would have impacted my life the way it has. I’m very thankful for having the opportunity to be a part of Elite Recovery. Also, my counselor is the best counselor I’ve had in my recovery experience the last 2 years....

Samantha R.

Healthcare Professional

I wanted to take a minute to tell you both how EXTRAORDINARY my counselor is. She is compassionate, genuinely interested in the clients and ALWAYS brings a positive attitude to groups. I have worked in health care for MANY years and can spot an authentic person from a mile away. She handles difficult clients and situations with ease and ALWAYS leaves me feeling valued. She is a gem and TRULY appreciated!

Dawid W.

Healthcare Professional

Family member went there, excellent place, great staff, highly recommended!

Jennifer H