Service Order Form
  • Service Order Form

    Please make sure to fill in the required fields and submit this form to complete your order.
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    Intake and Assessment Product Image
    Intake and Assessment

    Comprehensive Clinical Interview with Therapist            1.5 - 2 hours

    $150.00
      
    Psychiatric Evaluation Product Image
    Psychiatric Evaluation

    Comprehensive Clinical Interview with psychiatrist that may include prescription 1.5 - 2 hours

    $200.00
      
    Medication Evaluation - 30 Minutes Product Image
    Medication Evaluation - 30 Minutes

    Medication Evaluation is the  reconciliation and review of meds to ensure no unsafe interactions or drug practices.  

    $150.00
      
    Medication Management- 25 Minutes  Product Image
    Medication Management- 25 Minutes

    Medication Management is the prescription, administration, and review of medications.

    $110.00
      
    Medication Management - 15 Minutes Product Image
    Medication Management - 15 Minutes

    Medication Management is the prescription, administration, and review of medications

    $90.00
      
    Outpatient Therapy - 1 Hour Product Image
    Outpatient Therapy - 1 Hour

    SHYAS provides individual & family therapy to help you mange the challenges of life and address mental health and substance use  symptoms.

    $120.00
      
    Outpatient Therapy - 30 Minutes  Product Image
    Outpatient Therapy - 30 Minutes

    SHYAS provides individual & family therapy to help you mange the challenges of life and address mental health and substance use  symptoms.

    $75.00
      
    Outpatient Therapy Group  Product Image
    Outpatient Therapy Group

    Group therapy is used to address a specific mental health  and/or  substance use concern with  peer support. It is the most effective form of treatment.

    $60.00
      
    In Home Therapy - 1 Hour Product Image
    In Home Therapy - 1 Hour

    Therapy provided to youth and/or adults in their home or private community-based setting is In-Home therapy.

    $150.00
      
    DWI - Intake and Assessment Product Image
    DWI - Intake and Assessment

    Each DWI infraction requires an assessment. A DWI assessment is only good for 6 months. Please note you must follow through with the treatment recommendations within 6 months or you must pay for another assessment.

    $100.00
      
    DWI - DMV Record Product Image
    DWI - DMV Record

    Must accompany assessment to determine the number of assessments you must pay for. Each DWI or DWLR infraction with an * beside it is equivalent to 1 assessment/$100.00. Please Note: we do not count the infraction with an * if it is duplicated on the record.

    $15.00
      
    DWI - 20 hour Short Term  Product Image
    DWI - 20 hour Short Term

    2 hours per class 2 days per week for 5 weeks Can not complete prior to 30 days

    $350.00
      
    DWI - 40 Longer Term Product Image
    DWI - 40 Longer Term

    can not complete prior to 60 days 2hrs per class 2 days per week for 2 months

    $600.00
      
    DWI - IOP   Product Image
    DWI - IOP

    Substance Abuse Intensive Outpatient Program 3hours 3 days a week for 3 months

    $2,000.00
      
    DWI Treatment Review Product Image
    DWI Treatment Review

    If you do not complete pay to complete services with SHYAS DWI Program. You completed treatment with a different program and you provide proof of successful completion and negative urine drug screens.

    $75.00
      
    SACOT Product Image
    SACOT

    Substance Abuse Comprehensive Outpatient Treatment  4hours a day 5 days a week for 4 months substance use partial hospitalization 120 day treatment

    $4,000.00
      
    ADETS Product Image
    ADETS

    ADETS - Alcohol & Drug Traffic School 16 hour substance use prevention and education Prime for Life Curriculum. Must purchase the book.

    $160.00
      
    ADETS Work Book Product Image
    ADETS Work Book

    Prime For Life Work Book must add $5.00 for shipping and handling pick up from the office is available

    $25.00
      
    Total
    $0.00
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