George Hawkins Memorial Treatment Center
10320 North Airport Road
Clinton, Oklahoma 73601
1-800-247-4612 ext. 32370
To Whom It May Concern:
In this packet, you will find our Client Residential Admission Packet. Please complete the forms and return to the Admission’s Office at the contact information above. In order to be placed on our waiting list, you will need to have all requested documents turned in before we place a Received date stamp on your application. The waiting list is based on a first come, first serve basis meaning the sooner we receive all the required documents, the sooner you are placed on our waiting list.
PLEASE NOTE THE FOLLOWING: You must have the following completed within 30 days to comply with
Physical Examination with any necessary medications filled for a 60-day period. Must have a
doctor’s order for any daily over-the-counter medications such as Aleve, Ibuprofen, etc.
Laboratory Results including: 1) Tuberculosis Test/ PPD Skin Test 2) Hepatitis Profile*
Lab tests must read negative in order to qualify for admission. Positive test results are handled as special circumstances. The client should contact both their physician for immediate treatment, and the Treatment Center for notification.
*No tests older than thirty (30) days will be accepted.
The George Hawkins Memorial Treatment Center is a non-medical center designed to facilitate the rehabilitation of the chemically dependent individual in a structured, therapeutic environment. Our combined services include, but are not limited to, individual/group therapy, alcohol/substance
abuse education, relapse prevention, spiritual/cultural activities, and 24-hour supervision.
Our minimum admission criteria: 1) Prospective client must be discharged or released for at least thirty (30) days from restricted environments such as prison, half-way houses, and mental/physical hospitalization; however, we will accept an immediate transfer from a county jail facility if judicial arrangements are made. 2) A statement must accompany the application stating that the client is stable and compliant with medications. 3) Must be at least 18 years of age or older. 4)
Must have a valid Certification Degree of Indian Blood. 5) Must provide immunization record.
Referrals from other agencies: In the event of a referral, the referring agency must: 1) Include a discharge summary/treatment plan. 2) Be responsible for transportation to/from our facility. 3) An alcohol and drug assessment is highly encouraged and results released to this Treatment Center.
All potential clients are responsible for contacting George Hawkins Memorial Treatment Center on a weekly basis to maintain eligibility for admission. If you fail to make contact in 30 days, you will be removed from the waiting list and will need to reapply for admission.