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Email Inquiry

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I - CONTACT INFORMATION
First Name:*
Last Name:*
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Gender
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Age:
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II - PERSONAL CHALLENGES
Select all that apply:
- Absenteeism (from work or school)
- ADHD / ADD
- Addictions
- Alcohol
- Drugs
- Prescriptions
- Smoking
- Gaming / Texting / Online
- Eating / Food
- Other
- Anger
- Anxiety
- Autism
- AWOL (running away from home)
- Career / Employment / Work Concerns
- Cognitive Impairment
- Depression
- Eating Disorders
- Fetal Alcohol Spectrum Disorder
- Hormonal Imbalance
- Impulsive Behaviour (Impulse Control)
- Lack of Attention / Focus
- Legal Issues (arrests / charges)
- Learning Challenges
- Low Motivation
- Low Self-Esteem (Self Confidence)
- Obsessive Compulsive Disorder (OCD)
- Oppositional Defiance Disorder (ODD)
- Poor Memory
- Post-Concussion Syndrome / Symptoms
- Post Traumatic Stress Disorder (PTSD)
- Self-Harm (cutting, burning, etc.)
- Sleep Disorder / Issues
- Substance Abuse
- Suicidal (ideation, attempts, threats)
- Traumatic Brain Injury (TBI)
- Weight Management
Other Personal Challenges
III - ADDITIONAL DETAILS
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At Emergo Recovery, we’re committed to working with medical and human resources professionals to ensure your patient or staff member receives personalized, targeted recovery care.
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Disclaimer

Emergo Recovery is an integrative, evidence based holistic wellness program. We do not diagnose, treat or cure medical conditions, nor do we make prescription recommendations of any kind.

General

Our private residential facility is proudly located in Canada, and our Actualized Recovery method is shared with treatment and wellbeing professionals around the world. Actualized Recovery -- The Evidence-based Science of Recovery and Wellbeing
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