[Infographic] A Look at Alcohol Addiction in the US

1 in 12 adults in the US is dependent on alcohol. That’s approximately 16 million Americans overall. We put together this infographic to shed light on this unfortunate problem…
true cost of alcohol addiction

Spread the word...Share on FacebookShare on Google+Tweet about this on TwitterShare on LinkedIn
Pre-Verify Benefits

= Required

Patient Name

First Name

Last Name

Patient Home Address

Address

City

State

Zip

DOB (MM/DD/YYYY)

Patient's Contact Information

Patient’s Home Phone

Patient’s Cell Phone

Patient’s Email Address


Insured's Name

First Name

Last Name

Insured's Home Address

Address

City

State

Zip

Insured's Contact Information

Insured's Home Phone

Insured's Cell Phone

Insured's Email Address


Insurance Information

Insured's Employer

Insured's Occupation

Insurance Provider

Insurance Plan Type
 HMO PPO EPO

ID Number

Group Number

Customer Service / Substance Abuse Benefits Phone

Treatment Needs

Drugs of Choice

Have you ever been treated for addiction before?

×