Set Free Alaska - Alcohol and Drug Treatment Alaska
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  • About
    • Meet The Staff
    • SFA Board of Directors
    • Founders Video
    • Strategic Plan
    • Annual Report
    • Press & Support
  • Services
    • Outpatient Services – Mat-Su
    • Outpatient Services – Homer
    • Children / Adolescent Services
    • Women’s Residential Treatment
    • Men’s Residential Treatment
    • Assessment
    • Costs
    • Notice of Privacy Practices
  • Donations
    • Christmas 2020
  • Testimonies
  • Employment
  • Contact
    • Mat-Su Office 907-373-4732
    • Homer Office 907-235-4732
  • Connect
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Set Free Assessment Form - Mat-Su

Step 1 of 3

33%
  • Client Profile

  • Demographics

  • Intake Information

  • Date Format: MM slash DD slash YYYY
  • (Alcohol & Drugs Alcohol Only; Drugs Only; Suicide attempt/threat; Child abuse victim; Sexual abuse victim; Domestic violence victim; Eating disorder; Thought disorder; Depression; Social/interpersonal (not family); Coping with daily roles/activities; Marital; Family (non marital); Medical/somatic; Psychological/emotional; Financial; Poverty; Child abuse perpetrator; Sexual abuse perpetrator; DV perpetrator; None; Other; Unknown)
  • This field is for validation purposes and should be left unchanged.

Set Free Alaska Inc. – Mat-Su

Office - 907-373-4732

Fax - 907-746-4749

PO BOX 876741

Wasilla, AK 99687

M-T-W-F 9 AM-5 PM | TH 11 AM-5PM

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Set Free Alaska Inc. – Homer

907 235-4732

907 235-4733

1130 Ocean Drive Suite A

Homer, AK 99603

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  • Home
  • About
    ▲
    • Meet The Staff
    • SFA Board of Directors
    • Founders Video
    • Strategic Plan
    • Annual Report
    • Press & Support
  • Services
    ▲
    • Outpatient Services – Mat-Su
    • Outpatient Services – Homer
    • Children / Adolescent Services
    • Women’s Residential Treatment
    • Men’s Residential Treatment
    • Assessment
    • Costs
    • Notice of Privacy Practices
  • Donations
    ▲
    • Christmas 2020
  • Testimonies
  • Employment
  • Contact
    ▲
    • Mat-Su Office 907-373-4732
    • Homer Office 907-235-4732
  • Connect
  • Connect

Set Free Alaska


Phone 907-373-4732


Fax 907-746-4749