Address:
8040 Old Cedar Ave South, Suite 101, Bloomington, MN 55425
Email:
info@alliancewellnesscenter.com
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952-562-3740
Assessments
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Assessments
Assessments at Alliance Wellness Center in Bloomington, MN
Start Your Rule 25 Assessment Here
Do you have Health Care Insurance? Provider: (choose one)
MEDICA
BC/BS
PREF ONE
HP UCARE
MEDICA MHP
Hennepin Health
CCDTF/MA
Who referred you to us?
PO/Parole Officer
Courts
Family/Friend
Another TX Center
Other
Self Referral
If treatment is recommended is there a provider you would prefer?
Evening or Weekend?
Have you had a assessment or Rule 25 in the past 45 days?
Yes
No
Is someone requiring you to receive a rule 25 assessment?
Yes
No
What is your drug of choice?
Date of Most Recent Use
Amount