Addiction Treatment Services

Joint Commission Accredited Addiction Treatment

We live up to the highest standards of what it means to be a JCAHO accredited facility for substance abuse addiction and never compromise on ethical standards, innovative treatment plans, and research-based treatment.

We're Here To Help

Are you looking to seek help from Nextep? Please fill in your personal details in the form below and submit. We’ll schedule an appointment so you can visit us and talk to our licensed and certified addiction therapists.

PERSONAL INFORMATION

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Name*

First Last

Gender

Address

Street Address Address Line 2 City State ZIP Code

Phone

Email*

Date of Birth

Full Social Security #

Source of Payment

Payment Contact

Phone

Insurance Information Subscriber Name

First Last

Last 4 of Social Security - Subscriber

Date of Birth - Subscriber

Relationship to Patient

Insurance Provider

Insurance Phone

Member ID

Group ID

EMERGENCY CONTACT - Contact Name

First Last

Relationship

Emergency Contact's Address

Street Address Address Line 2 City State ZIP Code

Emergency Contact's Phone

Referred By

Alcohol/Drug of Choice

Have You Had Past Addiction Treatment*

Discharge Date

Where

Preferred Location*

Fort Myers

Naples

CAPTCHA

The Nextep is committed to providing high quality outpatient therapy services. As a healthcare leader we partner with groups and events within the communities we serve. Our focus on our therapists continuing education is unmatched and guarantees our therapists understand and put into practice cutting-edge treatments and rehabilitation techniques available for all types of recovery related issues.

Addiction Treatment Services

We're Here To Help

We Accept Most Major Health Insurance Including:

Let Us Help You Take The Next Step In Your Recovery Process