Confidential Inquiry form - Addiction Treatment Center

Serenity Lane

Home Confidential Inquiry Form

Serenity Lane is an addiction recovery treatment center with locations in Oregon and SW Washington. We offer a variety of treatment programs to help you or your loved one dealing with substance abuse addictions. Contact us using our confidential inquiry form to get the help you need.

Call to talk to an admissions counselor confidentially at: 541-687-1110 or fill out our confidential inquiry form and we will contact you.

Name*
First Last
Phone Number*
Email*
Preferred Method of Contact*
- Phone Call
- Email
Where are you located (Optional)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
How can we help?*
By submitting this information I signify the information presented herein is true and authorize Serenity Lane admissions staff to review the information submitted and contact me.

We do not share this information with any organizations outside of Serenity Lane.

Get help today: Get help today: 1 (800) 543-9905 or
Submit a Confidential Inquiry.

Serenity Lane

Non-profit treatment centers for
alcohol and drug addictions. Treatment facilities located in:

Coburg, Eugene, SE Portland, SW Portland, Salem, Albany, Bend, and Roseburg, OR and Vancouver WA

Coburg Campus

1 (800) 543-9905 Serenity Lane, PO Box 8549, Coburg, OR 97408

Visiting information

Coburg Campus Visiting Rules & Information

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