California Highlands

Enroll Now

We are glad you are here! Our program is designed to help individuals deal with substance abuse and mental health issues. If you or a loved one needs help, we would be honored to be a part of the recovery journey.

Below is a form that will tell us more about you or your loved one and what you are looking for. We will use this information to help make a decision about what kind of treatment is best for you. Once we receive your form, we will contact you by phone to discuss treatment options.

If you have any questions, don’t hesitate to call. Contact us at (888) 969-8755.


Admissions Form

Enter your details below and we will verify your eligibility for our program. Your information is transmitted securely and will only be used to check your benefits and to contact you to discuss your benefits. We will never sell your information and you are protected under HIPAA and our Privacy Policy.

Pre-Admission Form

Enter your details below and we will verify your eligibility for our program. Your information is transmitted securely and will only be used to check your benefits and to contact you to discuss your benefits. We will never sell your information and you are protected under HIPAA and our Privacy Policy.

Step 1 of 4 - Patient Information

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  • Patient Information