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)
  • Augusta, GA 2017-03-21T00:27:03+00:00

    Augusta, GA Treatment Centers Of America

    4158 Washington Road
    Augusta, Georgia 30809
    Phone: 706-854-9225
    Fax: 706-854-9226

    Hours of Operation

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

    Augusta Staff

    Augusta Clinical Director: Reginald Rosier, BA, CADC
    Lead Nurse: Tiffany Kittles, LPN