For your convenience, you’ll find a list of necessary Intake Materials below.  Please print and complete these forms and bring along with you to your initial Tellurian Intake appointment.

In Patient Admission Checklist

Please bring the following personal items and necessary documents on this list with you when you arrive.


Request for Services Form

Because every person’s journey is unique, we meet each of our patients where they are at. This means that our treatment plans are not ‘one size fits all’ but are tailored to each individual patient so they are able to achieve greater success. Tellurian is committed to providing the best care for every patient's recovery. Please complete the Request for Services Form so we can provide a tailored plan for recovery.