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Forms

Click to download the following documents: 

Professional Referral Form (PDF)

Patient Referral Form (PDF)

Health Assessment Form (PDF)

Physical Examination Form (PDF)

Legal and Privacy Notice (PDF)

Contact Information

Walnut Hills: 2621 Victory Parkway, Cincinnati, Ohio 45206, 513-861-0035

Western Hills:  4966 Glenway Ave. Suite 205 Cincinnati, Ohio 45238, 513-684-7977

If in need from 5:00 p.m. - 9:00 a.m.: call the 513-281-CARE 24/7 hotline.

For emergencies: Call 911

For more information about Gateways, please email info@gatewaysrecovery.com.

The path to recovery starts with the first step.  Please contact Gateways today.