Important Information Regarding Deposit & Admission

– Immediate Action Required –

Thank you for your security deposit of 20% to attend InnerBalance Health Center’s treatment program. This deposit guarantees space on the agreed upon enrollment date.

After we receive your deposit and have reserved a space for you for a particular date and because we have a waiting list of clients wanting to enter the program, if you choose not to start the program, you will forfeit the 20% deposit. Entry into the program is on a first come first served basis. Each deposit form is time stamped based on the time this form is submitted. Payment in full for the program is due upon admission.

To ensure the best treatment for each client, InnerBalance has strict policies and procedures along with corresponding fines and penalties designed to keep each client safe and focused on recovery.

Deposit and Unpaid Charges
Ancillary medical care and/or additional lab tests Actual cost – Although we would like you to be free from alcohol and mind altering, addictive substances upon enrollment, it is not our recommendation you stop alcohol or other drugs without medical assistance. Please talk with your physician about stopping alcohol and these drugs. If you need assistance with this, please contact us and we would be happy to help you. Clients will be tested on intake and if positive for life-threatening substances that could cause severe withdrawal, may be taken to detox and could lead to a delay in entering treatment. This excludes necessary prescriptions cleared by the Clinical Director. Costs associated with detox, additional lab testing and ancillary medical care above and beyond that associated with our program will be at the client’s expense. Clients will be expected to actively participate in all drug and alcohol addiction treatment programs and should be able to function without major limitations. Do not drink alcohol the day of admission – will be breathalyzed upon admission and reading must be 0.00.
Relapse on drugs or alcohol Additional charges for extra services required – can range as high as $500. Possible discharge if there is a second relapse*
Unexcused curfew violation Fee assessed in accordance with counselor’s time – discharge from housing on second occurrence**
Drugs or alcohol brought into facilities Fee assessed in accordance with counselor’s time – immediate discharge from housing**
Smoking in or within 20 feet of facilities Fee assessed in accordance with counselor’s time – possible discharge from housing**
Entering client’s private rooms or having sex with another client Fee assessed in accordance with counselor’s time – immediate discharge from housing**
Causing a reportable disturbance in or around facilities $500 – immediate discharge from housing**
Unexcused missed individual sessions, group meetings and classes Fee assessed in accordance with counselor’s time – possible discharge on second occurrence*
Damaged or lost property Replacement cost
* If a client is dismissed from the program, they may apply for re-admission to the program after 30 days.
**If a client is discharged from InnerBalance housing, we will help the client procure alternative housing. If a client relapses, depending on the level of intoxication, they may be taken to a detox center at their own expense.