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michaelshouse Sign Up Information

Last Updated:

1/11/2020

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Membership Emails

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

Foundations Recovery Network -...

Hello William – My name is Kinzi and I’m an admissions coordinator for Foundations Recovery Network. We received your email regarding Grayson and I wanted to touch base to see if there’s a good time to talk about our program. Please give me a call at 888-980-4321. Thanks.

Kinzi Dowdy

Treatment Consultant

Foundations Recovery Network

Office 615-371-5700 /toll free 888-980-4321

Fax 615-866-0173

Email Kinzi.Dowdy@FRNMail.com

UHS of Delaware, Inc. Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution of this information is prohibited, and may be punishable by law. If this was sent to you in error, please notify the sender by reply e-mail and destroy all copies of the original message.

Raw Data Registration Structure Registration Form Text

Registration

Let�s Get You Some Answers By requesting a risk-free, confidential assessment we promise to guide you in finding the best solution for your individual needs. Who are you seeking help for today?

First name

Last name

Phone

City

State

Country

Select One

Select One Myself Loved One Client/Patient Is the person in need of help 18 or older?

Yes

Patient State

Select One

Yes

View Options Employer Provided/Individually Provided Government Provided (Medicaid) Government Provided (Medicare) No Insurance Cash Pay No Insurance, Will Need Financial Assistance Want to speed up the process? - Optional If you can provide a little more information now, we'll go ahead and get to work on finding personalized options based on your situation and coverage.

No thanks

Yes

Select One

Data Name	Data Type	Options
Let�s Get You Some Answers By requesting a risk-free, confidential assessment we promise to guide you in finding the best solution for your individual needs. Who are you seeking help for today?	Text Box
First name	Text Box
Last name	Text Box
Email	Text Box
Phone	Text Box
City	Text Box
State	Text Box
Country	Text Box
	dropdown	Select One
	checklist	Select One Myself Loved One Client/Patient Is the person in need of help 18 or older?
No	checklist	Yes
Patient State	dropdown	Select One
	dropdown	Select One
Yes	option	View Options Employer Provided/Individually Provided Government Provided (Medicaid) Government Provided (Medicare) No Insurance Cash Pay No Insurance, Will Need Financial Assistance Want to speed up the process? - Optional If you can provide a little more information now, we'll go ahead and get to work on finding personalized options based on your situation and coverage.
No thanks	option	Yes
	dropdown	Select One
	dropdown	Select One
	dropdown	Select One