Request appointment | Lake Charles Addiction and Wellness Center

Request an appointment

What is the reason for seeking care? What is going on in your life right now that has encouraged you to get treatment?

Brief summary of the situation leading you to seek treatment with us.

Limited to 600 characters

What mental health or substance use concerns or treatment have occurred in the past?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health or substance use reasons now or recently Hospitalized for mental health or substance use reasons in the past In substance use treatment now In substance use treatment in the past None of the above

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.