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Center For Discovery Sign Up Information

Last Updated:

11/25/2019

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Email Address

Date of Birth

Your Name

First Name, Last Name

Your Address

City, State, Country, Zipcode

Phone Number

Phone

Post-Registration Data

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Center For Discovery.

Center for Discovery...
Center for Discovery...
Center for Discovery...

Hello Evelyn,

My name is Sarah, I am an admission liaison for Center for Discovery.�I'm following up on the�web form�you submitted to to our program. I can be reached at 562-357-3077.��Please let me know if there's any way I can be of assistance.�

Warm Regards,�

Sarah Vazquez

Admissions Liaison

Discovery Behavioral Health

Admissions Line: (714) 828-0808

Direct Line: (562) 357-3077

Fax: (714) 388-3894

W W W . D I S C O V E R Y B E H A V I O R A L H E A L T H . C O M

This email and any files transmitted with it are�confidential and are intended solely for the use of�the individual or entity to which they are�addressed. This communication may contain�material protected by HIPAA legislation (45�CFR, Parts 160 & 164). If you are not the�intended recipient or the person responsible for�delivering this email to the intended recipient, be�advised that you have received this email in error�and that any use, dissemination, forwarding,�printing or copying of this email is strictly�prohibited. If you have received this email in�error, please notify the sender by replying to this�email and then delete the email from your�computer.

Hello Evelyn,

I hope this�email finds you well, I just wanted to follow up once more regarding your plans for treatment and considering Center for Discovery. I have attempted to reach out a few times, however, I have not received a response. I understand�that this process can be challenging, and you may be overwhelmed�with information and treatment options. If you have made a decision, please feel free to elect to no longer receive my follow-up calls/emails. In the event you are still deciding on a treatment plan, I would like to provide you with information that will be helpful in making your�decision.

Center for Discovery has been providing quality care for over 2 decades and is honored to assist you in this process. We can sort through your treatment options and come up with a plan that best serves you. A plan that meets your needs and most importantly, a plan that you feel confident�about.

If you're looking for more information about our program please the link below:

https://centerfordiscovery.com/��

https://discoverybehavioralhealth.com/��

Please let us know if there's anything else we can do to further assist you in this process.

�

Warm Regards,�

Sarah Vazquez

Admissions Liaison

Discovery Behavioral Health

Admissions Line: (714) 828-0808

Direct Line: (562) 357-3077

Fax: (714) 388-3894

W W W . D I S C O V E R Y B E H A V I O R A L H E A L T H . C O M

Raw Data Registration Structure Registration Form Text

Registration

Subscriber Name:

First name

Last name

Phone

City

State

Zipcode

Date of birth

Adult Residential Treatment

How Did You Hear About Us?

Adult Residential Treatment

Complete Security Check to Submit.Keep me updated with important News and Events from Center For Discovery

Data Name	Data Type	Options
Subscriber Name:	Text Box
First name	Text Box
Last name	Text Box
Email	Text Box
Phone	Text Box
City	Text Box
State	Text Box
Zipcode	Text Box
Date of birth	Text Box
	dropdown	Adult Residential Treatment
How Did You Hear About Us?	dropdown	Adult Residential Treatment
	dropdown	Adult Residential Treatment
	checklist	Complete Security Check to Submit.Keep me updated with important News and Events from Center For Discovery

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