Care Connection

"*" indicates required fields

If you are in crisis STOP. Call 911 or our Emergency Services Department at 239-275-4242.

How can SalusCare Help? (Please select all the below statements that apply to you.)

Section 1

Mailing Address

Section 2

Date of Birth*
Do You Require a Translator?
Please type detailed information about any allergies you may have

Section 3

Emergency Contact Address
Legal Guardian Contact Address

Section 4

Do you currently have health insurance?
Are you registered to vote?

SalusCare, Inc. Corporate HQ
3763 Evans Ave.
Fort Myers, FL 33901
Monday-Friday | 8:00am - 5:00pm
Get Directions

Stay Up To Date With SalusCare

Give a Gift. Save a Life.
Donate Today ›

Your tax-deductible donation to SalusCare will help put hope and recovery within reach for those in need.

Pay My Bill Now

Please help us battle addiction stigma in our community! 

Share your feedback by taking the Addiction Policy Forum's survey:

For help from SalusCare, please text one of our keywords - “appointment”, “refill”, “billing” or “MAT” for the Medicated Assisted Treatment Clinic to 239-275-3222.

Compliment Form

Please use this form to pay compliments to any SalusCare staff member.

Your feedback is very important!

Your Name(Required)

I Would Like To Compliment the Following Saluscare Employee:

Employee Name(Required)