Brighton Center for Recovery Secure Online Admission Form
Welcome to Brighton Center for Recovery! You have taken the right step in looking for help with addiction. The next step toward receiving treatment at Brighton Center for Recovery is completing this form. A Customer Service Representative will review your substance abuse history and insurance benefits and call to schedule an admission assessment for you or a loved one within 24 hours.
If you prefer to speak with us, or need assistance in completing this form, please call a Customer Service Representative at 1-877-976-2371. Representatives are available from Monday - Friday, 8am - 11:30pm and weekends from 8am - 6:30pm.
You can also text the word BEST to 9 10 11 to receive an automated call with information about our programs. Please note that the secure form seeks information for each field listed. If you don't have the answer for every question, that's ok too. Just put a question mark (?) in any item where you lack information. The most important thing is to open a line of communication with us. That's where the healing starts! All information provided is kept secure and confidential to be used only by Brighton Center for Recovery.