Addiction Treatment Pre-Admission Form

Nurse assesses patient for Detox or Rehab

Start Your Recovery Today

Confidential Rehab Admission 

Fast, Simple, Supportive

Taking this step can feel overwhelming — but you don’t have to do it alone.

Complete the form below and a member of our admissions team will contact you promptly to guide you through the next steps. Many people are admitted within 24 hours.

✔ 100% confidential
✔ No pressure, just support
✔ Experienced admissions advisors
✔ Help available for you or a loved one

Reaching out for help takes courage. Whether you’re seeking treatment for yourself or someone you care about, our admissions team will support you with clarity, compassion, and complete confidentiality.

Submitting this form does not commit you to treatment — it simply starts a private conversation.

Trusted by individuals and families across the UK
Regulated by the CQC and other UK regulatory bodies

Immediate and Emergency Rehab Admissions

If you’re ready for treatment but need time to organise work, family or personal matters, we can arrange a pre-booked admission date.

Once a deposit is received, your treatment space is secured for your chosen date, giving you certainty and peace of mind.

Getting to Our Treatment Centres

PCP operates four treatment centres across the UK, including:

London

Luton

Chelmsford

Leicestershire

All locations are easily accessible by car or public transport.

If travel is difficult, speak to our admissions team about sober transport options. We will provide full address details and guidance before your admission.

Pre-booked Rehab Admissions

If you have decided to admit to one of our rehabs but have some business or family matters to take care of first, we can book you an admission date upon receipt of a deposit. A treatment bed will then be held open for the date you decide on.

Complete Confidentiality

We respect your privacy completely.

Your enquiry is confidential

Your admission is confidential

Your treatment details remain private

We will never confirm your admission to anyone unless they are listed on your approved contact list. Even then, no personal clinical details are disclosed.

Your recovery journey is yours — and it stays that way.

What to Expect on Admission to Our Rehab

When you arrive at your chosen location, you will be warmly welcomed by our team.

On your first day:

You will be shown around the centre

Introduced to staff and other clients

Supported through any remaining paperwork

Given a clear treatment timetable

We intentionally keep your first day simple to avoid overwhelm. You will meet your focal counsellor within your first 24–48 hours, depending on how you are feeling.

Medical Assessment & Detox

On admission, you will receive a comprehensive medical assessment from our rehab doctor.

This includes:

A detailed addiction history

Review of current medications

Assessment of physical and mental health

If alcohol or drug dependency is identified, a medically supervised detox plan will be prescribed to:

Manage withdrawal symptoms

Ensure safety

Minimise discomfort

Your health will be monitored throughout treatment.

Pre-Admission Form

"*" indicates required fields

Name*
Address*
DD slash MM slash YYYY
(we will not contact your GP without your signed consent to do so)

Your Next of Kin

Admission Information

DD slash MM slash YYYY

DATA PROTECTION ACT 2018: IMPORTANT INFORMATION

A Straightforward and Welcoming Process

PCP understands that admitting to rehab for addiction treatment or detox can be a frightening prospect for most. 

For the vast majority of individuals who come to us for help, it is a slow process of surrendering to the fact that they cannot carry on as they are any longer. 

Admission to one of our rehab centres is one of the most courageous and worthwhile things you can do, not just for your family, but for yourself.

Rehab Admission Uk