:: Intake Forms
| asam_six_dimensions_questionnaire_2019-_revised.docx |
:: Intake Information
Orientation to Clearview Recovery includes no phone or computer for the first 7-14 days.
Items that can be brought to treatment include:
+ Weather appropriate clothing: No spaghetti strap tanks and shorts must touch fingertips when at your side.
+ Unopened snacks/drinks
+ Money (for vending machine/Wal-Mart)
+ Cigarettes
+ Hygiene products: shampoo, conditioner, soap, razor, tampons, and pads
+ Hair care items: straightener, blow dryer, hairspray and mousse
+ Towels
+ Robe
+ Shower shows
+ Twin bedding and pillow
+ DVD Player
+ Digital TV
Items that can be brought to treatment include:
+ Weather appropriate clothing: No spaghetti strap tanks and shorts must touch fingertips when at your side.
+ Unopened snacks/drinks
+ Money (for vending machine/Wal-Mart)
+ Cigarettes
+ Hygiene products: shampoo, conditioner, soap, razor, tampons, and pads
+ Hair care items: straightener, blow dryer, hairspray and mousse
+ Towels
+ Robe
+ Shower shows
+ Twin bedding and pillow
+ DVD Player
+ Digital TV
If this is an emergency, please call 911
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Clearview Recovery501 N. Sherman, Prairie City, Iowa 50228Phone: (515) 994-3562
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