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Submission of this form is strictly voluntary and will be used by Sterling Crossroads to establish contact with the individual submitting the form. It is not intended to create expectations of immediate treatment in any way, nor does it serve as admittance to our program. Following up on submissions will be conducted during the established office hours for Sterling Crossroads; forms submitted outside of established office hours will be addressed as soon as possible.

Sterling Crossroads accepts all major insurances (Commercial, Medicare, Medicaid) and offers a Sliding Fee Scale program which allows the fee or co-pay for services to be based on a household’s size and income.