Please read instructions below - You must complete ALL forms prior to your first visit:
Once a form is begun, it must be completed in its entirety. There is not an option to "Save" and return at a later time.
By clicking on the appropriate link (Adult Admission Packet or Child/Adolescent Admission Packet), you will be directed to a secure site. There are 4 forms in each packet.
When all questions of a form have been completed, scroll to the end of that form and click on "Submit". Clicking "Submit"must be repeated for each of the four forms.
Forms to complete in the Adult Admission Packet are:
1. Insurance and Information Form
2. Adult Self-Reported History (Age 18 & Older)
3. Patient Health Questionnaire (PHQ-9)
4. Generalized Anxiety Disorder 7 (GAD-7)
Forms to complete in the Child/Adolescent Admission Packet are:
1. Insurance and Information Form
2. Child/Adolescent Personal History (Age 17 & Under)
3. Patient Health Questionnaire (PHQ-9)
4. Generalized Anxiety Disorder 7 (GAD-7)
Child/Adolescent Admission Packet
Once we receive your Adult or Child/Adolescent Admission Packet, we will...
If you are currently in a inpatient/residential treatment program, above forms will be directed to you-via your treatment team. A phone appointment will also be required with you and/or family member prior to discharge from your current facility.
The following Financial Duty Forms link is to be completed at our office using our lobby computers and e-signature pad. Please arrive at least 15 minutes prior to your first appointment to complete these forms. You will need to bring your driver's license and all insurance cards along with a credit card to keep on file in order for you to keep up with all payments. This policy is in place so that you can focus on treatment when you come in our clinic, vs having to focus on finances. We accept all major credit cards, cash or cashier's checks as a form of payment--no personal checks, sorry.
We participate with the following health and managed care plans and are listed under Jump Start® Consulting, LLC and/or Inner Door Center with your plan. Many or all of our services may be covered under your respective plan. We do not offer sliding scale. If you do not see your health or managed care plan listed below, please inquire.
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*Please note that we are not a Medicare or Medicaid facility and therefore cannot service these entities in our partial hospitalization program.
We can provide the care and treatment needed so that you can achieve the successful outcomes that you desire and deserve. Call us and set up an initial assessment and consultation. This is required so that our clinicians can determine the most appropriate treatment program and level of care for your condition. If you are making the decision to obtain intensive treatment, we are here to support you every step of the way. If you are worried about a loved one, we can help you understand the benefits of our program, but it is essential that your loved one is willing to participate. We empower our patients to determine the path that best suits them, while healing as individuals.

"I enjoyed the class--both the yoga and discussion parts. I am leaving the class feeling empowered and better about myself."
Laura H.
Eastpointe, MI
"I liked designing my own food plan instead of plugging into an existing 'popular diet,' while letting go of the drama and importance I give to food."
Alice S.
Huntington Woods, MI
"This class reinforced and encouraged me to find trust in my own way of doing things and allowing myself some discomfort without fighting it."
Julie F.
West Bloomfield, MI
"The sharing of thoughts and the questions Beverly presented were thought provoking and allowed us to open up to one another. The group of women that made up this class were committed to sharing themselves and that feeling was contagious."
Janice S.
Huntington Woods, MI
"This class has taught me self-love and self acceptance for my body. My self confidence has increased, and I feel more comfortable with myself."
Holly W.
Troy, MI
"Sharing in the circle with the talking stick and having time to really say what I wanted and listen to what the others had to say brought me a sense of closeness and support from the group."
Missy G.
White Lake, MI
"This program taught me how my body feels, how to eat mindfully, have a better image, feel emotions and not run from them."
Ashley O.
West Bloomfield, MI
"I received tremendous benefit from this program. Not only did I forward the action on my eating and exercise goals, but I also loved the emphasis on mindfulness!"
Patrice K.
Grand Blanc, MI
"I was very inspired, and it was life changing. It made me a stronger person in and out. It also taught me to be in touch with my body for once in my life. I am so grateful and appreciative. I deserve to be worthy enough and yoga taught me that!"
Danielle B.
Harrison Township, MI
"Inner Door was so beneficial, and it was the smartest decision I ever made."
Kayla T.
Sterling Heights, MI