Treatment Verification Letter-Portland



Grace Street Services LLC494 Forrest AvePortland ME 04101T: 207.245-1800 F: 207.899-1599Portland Office(207) 245-1800916723864220DATEPROVIDERTo Whom it May Concern: Please accept this letter as verification of treatment for ____________________, DOB ______. _________________ began treatment at Grace Street Services on __________, completed our intensive outpatient substance abuse program on ___________ and is currently engaged in our outpatient substance abuse program. __________________ currently attends ________________ weekly, meets with his/her physician monthly, is currently prescribed __ mgs of suboxone daily and completes urine drug tests monthly. If you require additional information, please contact us at the above number. Thank you for your time and consideration.Sincerely,STAFF NAMEJOB TITLE ................
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