If you are a current RCC client seeking additional services or are a former client looking to re-start services, please fill out this form:
Current/ Returning Client Intake Request Form
You will be contacted by our patient registration coordinator as soon as possible. Please refrain from submitting more than one request as it may result in longer wait times. Thanks!
For more information about the No Surprises Act, effective January 1, 2022, and receiving a Good Faith Estimate please click here.