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.

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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

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
Please help us ensure that you're human:

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

Joint Commission Accredited Addiction Treatment

We're here to help

PERSONAL INFORMATION

We Accept Most Major Health Insurance Including:

Recovery Residences

Addiction Treatment

Locations

Resources

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Nextep Recovery Services