COUPLES REHAB ADMISSIONS & VERIFICATION CHECKLIST
Published by Rehab for Two (rehabfortwo.com)
Last updated: October 4, 2026

Use this to record answers, not as a medical plan or a guarantee of quality.
Get clear policies and estimates before you pay or travel.

1. FACILITY CREDENTIALS
[ ] Exact legal name and service address: ______________________________
[ ] License number, site, and services checked in official state records.
[ ] Any claimed accreditation checked with the issuing group.

2. CLINICAL ASSESSMENTS
[ ] Ask how each partner is assessed and who makes care decisions.
[ ] Ask whether each person can speak privately with staff.

3. SEPARATION AND SAFETY POLICY
[ ] What if one person leaves, transfers, or returns to substance use?
[ ] What support is available to the other partner?

4. LIVING QUARTERS
[ ] Same site? Shared rooms? Separate rooms? Policy received in writing.
[ ] Ask when room policies change and how to request separation.

5. THERAPY STRUCTURE
[ ] Who provides private appointments and joint sessions?
[ ] Which approach is used? How are privacy and consent handled?

6. MEDICAL DETOX PROTOCOLS
[ ] Clinician asked what withdrawal care each person needs.
[ ] Location, available medical staff, and emergency support confirmed.

7. SAFETY
[ ] Ask how staff screen privately for violence, threats, or control.
[ ] Ask about emergency contacts and safe discharge plans.

8. FINANCIAL AND INSURANCE
[ ] Written itemized estimate and refund terms for each person.
[ ] Exact site and services checked with insurer for each person.
[ ] Individual and family deductibles, copays, and out-of-pocket limits checked.
[ ] Approval rules and exclusions confirmed.

9. LEGAL COMPLIANCE AND PATIENT RIGHTS
[ ] Who owns any referral service? Does it receive payments?
[ ] Written privacy, complaint, and patient rights policies requested.

10. MEDICATION-ASSISTED TREATMENT
[ ] Ask the care team about ongoing medicines and follow-up for each person.
[ ] Ask about safe storage and who handles medicines at the site.

11. CONFLICT AND BOUNDARIES
[ ] Ask how staff handle conflict and requests for space or separate care.
[ ] Ask whom to contact with a concern.

12. AFTERCARE AND RECOVERY HOUSING
[ ] Follow-up visits, medicines, and support planned before discharge.
[ ] Housing address, rules, costs, and any claimed certification checked.
[ ] Alternatives discussed if shared housing is unsuitable.

ADMISSIONS CONTACT LOG
Date: __________  Time: __________  Spoke with: ________________________
Notes: