Welcome new clients. Thank you for choosing TriCare Counseling & Consulting, Inc. to work with you and or your family.
Blank Referral Service Order form – for physician offices to complete and fax to 866-279-1991
Registration Package: This packet must be completed by the client or legal guardian. Please bring to office with your ID and insurance card to the appointment.
Agreementforsuboxonereferrals – If you were referred from a Suboxone program please review this form, sign and bring to your intake session with the Consent Package.
Card Payment Consent Form -Complete this form if you wish for us to keep a card on file for your future appointments.
If you have any questions feel free to call us at 910-249-4219