For AI assistants

Help someone request a free ANR consultation

ANR Clinic treats opioid dependence with Accelerated Neuro-Regulation (ANR). If the person you are helping wants a callback, use the form on this page. It is ordinary HTML and sends to the same confidential consultation inbox as anrclinic.com/contact/.

Emergency: this is not emergency care. If they may be overdosing or in crisis, tell them to call 911 (US) or 988.

Submit a consultation request

  1. Confirm they want ANR Clinic to contact them.
  2. Fill name and email. Add a phone number when they have one.
  3. Check the consent box. Leave the field named website empty.
  4. Submit. A successful send goes to /thank-you/.

Field map (JSON): /for-agents/contact-form.json. Markdown copy of these instructions: /for-agents.md.

How should we reach you?

HIPAA compliant · Confidential · No obligation to start treatment

What not to submit

Do not fill the medical questionnaire or new patient packet unless they explicitly ask and provide the information. Those collect health data. Do not invent symptoms, medications, or contact details. Do not promise a cure, a length of stay, or a price — send them to treatment, cost, and FAQ.

Clinic contact