Treatment Forms
Here you will find valuable information that will walk you through the admissions process.
Patient Admission Forms
Thank you for choosing InnerBalance Health Center for your addiction recovery needs. We look forward to partnering with you and your loved ones to reach whole healing.
Here you will find valuable information that will walk you through the admissions process.
Confidential Assessment Form
Please complete this assessment form prior to your stay with us. This will help us better understand your background and personalize your treatment program to your needs.
Insurance Verification Form
**Optional** Must be completed prior to admission!
If you are unsure about what your insurance company may or may not cover, complete this form and we will help you to verify coverage. We do not accept Medicare/Medicaid.
Program Deposit Form
Use this form to read our deposit policy and submit your online payment securely and confidentially.
Preparing For Arrival
Here you will find all the information to prepare for your addiction treatment stay including welcome documentation, what items to bring with you and other necessary information.
Once you have completed the Assessment Form, please download our welcome packet to complete your registration.
Welcome Packet
Our welcome packet includes a welcome letter, our guidelines for acceptance, info about your deposit and notice to family members.
What To Bring For Your Stay:
- Comfortable, casual clothing and shoes
- Clothing you can layer – Colorado temperatures fluctuate
- Exercise clothing & shoes (bring an extra pair of outdoor shoes in case one gets dirty or wet)
- Sleep wear – robe, pajamas, slippers
- Personal toiletries
- Swimsuit
- Day pack
- Sunglasses & sunscreen
- During winter months, please bring snow boots, hat, scarf, coat, gloves, hat, etc. as you will be walking between our residence and office. You will also participate in an outdoor field trip that requires light hiking and weather may vary.
Optional Items To Bring:
If you have the following and would like to bring along:
- Laptop
- Cell phone (Not allowed during treatment and restricted 2-hour access at completion of day)
- Inspirational reading
- iPod’s or MP3 players (to use at the gym or walks since you will not have your cell phone during the day)
- Headphones or earbuds
- Recreational equipment – golf clubs, roller blades, fishing rod, playing cards, board games…
- Camera
- Stationery, envelopes, stamps
- Basic watch for telling time outside of the facilities
Client Dress Code Policy:
Please do not wear any of the following during your stay with InnerBalance Health Center
- Torn clothing
- Clothing with foul language or obscene images
- Clothing with images/sayings that are alcohol or drug related
- Excessively tight or short clothing (shorts need to be mid-thigh length)
- See-through clothing
- Bare midriff shirts
- Exposed undergarments
- Strapless shirts
If a client’s dress is in violation of this policy, the client will be asked to make an appropriate correction.
What NOT to Bring For Your Stay:
- Smart Watches
- Bicycles
AFTERCARE PLANNING FOR FAMILIES
InnerBalance Health Center provides this form for friends and family of loved ones to help support aftercare planning.
After Care Form
Please fill out this form to help staff with aftercare planning for your loved one.
Financing Options
You may have already invested money in treatment plans, only to have relapses and repetitive behavior keep your pocketbook empty and resentment high. It’s time to make a change. Make InnerBalance Treatment Center the LAST treatment program you ever need. We offer financing and work with most insurance providers.
Financing is also available. We offer these three flexible financing options to meet most needs:
We use a truly holistic approach to treating addiction.
Payment Options
We know treatment center costs can be an issue, and for many patients, treatment costs can be a roadblock to getting help. That's why we at InnerBalance Health Center are here to help.
Accommodations
Located in beautiful Loveland, Colorado. InnerBalance Health Center is a Bed & Breakfast type environment which offers comfortable private or shared rooms with private bathrooms.
Staying Sober
We are always here for you well after treatment at our facility ends. Whether it is through our after-care program or just ongoing questions and concerns, we welcome our past clients with open arms.
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Discover the Missing Link in treating addiction. Learn about our holistic approach that truly incorporates mind, body, environment and spirit. Restoring biochemical imbalances as well as addressing nutrition, lifestyle and emotional support help our patients achieve lifelong sobriety as well as live happier and healthier lives. Addressing the root causes of addiction will help eliminate cravings that lead to addiction.


