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216-431-4131
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Who We Are
Who We Are
Senior Staff
Boards
News
Annual Report
MetroHealth Partnership
Our History
What We Do
What We Do
Treatment
Addiction
Mental Health
Criminal Justice & Reentry
Recovery
Employment Assistance
Housing
Assist NOW
Prevention
Problem Gambling
Education
Education
Trainings
Gambling
Get Involved
Get Involved
Donating
Funding
Volunteering
Partnerships
Run for Recovery
Wellness Wednesdays
Careers
Resources
Donors & Awards
Donate
Make a Referral
To make a referral, please email
intakereferrals@recres.org
, send a fax to 216-761-1598 or complete and submit the form below.
Name of Patient
*
Date of Birth
*
Address
City
State
Zipcode
Email Address
*
Phone Number
*
Insurance Name
Name of Policy Holder
Member Number
Group Number
Referred By
*
Reason for referral/services being sought:
*
Mental Health
Substance Use/Addiction
Gambling Addiction
Medication Management
Housing
Employment
Case Management
* Required fields