FREEDOM
THE ABILITY TO GO ABOUT YOUR EVERYDAY LIFE
Welcome to Mathers Recovery: New Patient Information
Congratulations, you have made a positive step toward emotional healing and growth! At Mathers Recovery, be assured that we have taken great care in selecting an exceptional team of professionals to meet your specific needs.
If you are a current patient, login in to our Patient Portal.
Mathers Recovery Forms
Please download, print and fill out the forms below. You will need to bring them to your first visit to our office.
Do you need Adobe Acrobat Reader DC? It;s free – CLICK HERE.
- New Patient Registration Form (PDF)
- Informed Consent for In-Person Services During COVID-19 Public Health Crisis (PDF)
- Missed Appointment Policy Form (PDF)
- Financial Policies Form (PDF)
- Client Rights Form (PDF)
- Privacy Practice HIPPA Form (PDF)
- Release of Information Form (PDF)
- Email Consent Form (PDF)
- Text Message Authorization Form (PDF)
- Additional Information Form (PDF)
- MAT Agreement Form, Mathers Clinic LLC PDF)
- Mathers Intake Questionnaire (PDF)
- Medication Assisted Treatment (MAT) Description (PDF)
IMPORTANT INFORMATION!
The Cycle of Addiction & Recovery:
QUESTIONS? CALL 224-908-3005
Respectfully Caring for the Emotional Well Being of Individuals & Families.
Elgin Office
420 Airport Rd, Ste C
Elgin, IL 60123
phone: 847.462.6099
fax: 847.628.6064
Elgin Business Hours
Monday – Friday
5:30am – 1:30pm
Saturday
6:30am – 11:00am
Sunday Closed
Elgin Dosing Hours
Monday – Friday
5:30am – 11:00am
Saturday
7:00am – 10:00am
Sunday Closed
*Methadone Maintenance Available
Fox Lake Office
101 Towne Centre Lane
(In the Fox Lake Town Center)
Fox Lake, IL 60020
phone: 224-908-3005
fax: 847.531.1296
Fox Lake Business Hours
Monday – Friday
5:30am – 1:30pm
Saturday
6:30am – 11:00am
Sunday Closed
Fox Lake Dosing Hours
Monday – Friday
5:30am – 11:00am
Saturday
7:00am – 10:00am
Sunday Closed
*Methadone Maintenance Available
Mathers Clinic Affiliates: