Intake Form Made EASY!

Please Fill out the intake form details to the right. This will help us determine your situation and the best way to help you. Please include the following in the “DETAILS” section:

  • OBNDD and OMMA License number
  • Submission date for State Fire Marshal Packet
  • Have you Passed Triage for SFM? Yes or No
  • Any other details pertaining to what specifically we can help you with!

We will contact you immediately upon receipt! We know time is of the essence! Thank you for your inquiry we look forward to helping you! – T&J

Contact Information