Patient Questionnaire

If you are a prospective patient, or know someone who could benefit from our services, please complete the printable form prior to your first visit. Completion of this questionnaire is purely voluntary but helps us expedite your admission to our facilities.
  • Patient Questionnaire Form (.pdf)
  • Panama City, FL 2017-05-15T10:29:01+00:00

    Panama City, FL Treatment Centers Of America

    1530 Harrison Ave.
    Panama City, FL 32405
    Office: 850-769-5695
    Fax: 850-769-5691

    Hours of Operation

    Mon-Fri: 5am-10am
    Saturday: 6am-9am
    Sunday: 7am-9am

    Panama City Staff

    Panama City Clinical Director: Shelly Toney, BA, ICADC, CAP
    Lead Nurse: Brandon Waldrep, LPN