You must complete the following steps before scheduling a substance abuse evaluation:

Step One: 

Create Patient Portal

  1. Go to https://crm.bestnotes.com/portal/acat to create your account.
  2. Fill out the three-page Addiction Treatment Application (located at the bottom-left of the home page) in its entirety and submit it. NOTE: the Submit button is on page 4.

Step Two:

Submit Documents

Washington State certified agencies are required to obtain specific documents for substance abuse evaluations. The documents vary depending on what you are being charged with / why you are obtaining the evaluation. Below you will find document checklists for the most common evaluation types.

Step Three: 

Call and Schedule

Once you have submitted all required documents, call and confirm with the front desk that they have been received. If everything is in order, you are free to schedule your appointment.
 

DOCUMENT CHECKLISTS

DUI | NEGLIGENT | RECKLESS | DEFERRED   ALL OTHER DRIVING CHARGES IN WA

Email/scan clear pictures of the following to support@affinitycounseling.net:
  1. Photo ID   
  2. All court docs, if applicable. (If pre-trial, it is important to let us know about any pending charges if you haven't already).
  3. The front AND back of your insurance card, if applicable.
    If on WA State Medicaid (Molina, Community Health Plan of WA, Coordinated Care), send front and back of your ProviderOne card, as well. Please note: we no longer accept Amerigroup.
  4. Probation / attorney / referent information.
  5. FULL Washington State driving record . This is REQUIRED!
Important information about your WA driving record
    • Must not be more than 30 days old.
    • OREGON/OTHER NON-WASHINGTON RESIDENTS: You will have a Washington record if your driving infraction was in Washington.
    • Scroll to the end of this page for instructions on how to obtain your driving record.
IT IS YOUR RESPONSIBILITY TO TELL US IF YOU GET CONVICTED OF A DUI. WE WILL NOT KNOW TO SEND COMPLIANCE REPORTS TO THE DEPARTMENT OF LICENSING IF YOU DO NOT INFORM US OF THIS AND IT MAY IMPACT YOUR TIMELINE ON GETTING YOUR LICENSE BACK. 

WA RESIDENT WITH OUT-OF-STATE CHARGES

Email/scan clear pictures of the following to support@affinitycounseling.net:
  1. Photo ID
  2. ALL court documents and required paperwork from the state in which the infraction occurred.
  3. The front AND back of insurance card, if applicable. If on WA State Medicaid (Molina, Community Health Plan of WA, Coordinated Care), send a picture of the front and back of your ProviderOne card, as well. Please note: we no longer accept Amerigroup.
  4. Probation / court / attorney / referent information.
IT IS YOUR RESPONSIBILITY TO PROVIDE US WITH THE NECESSARY PAPERWORK AND CONTACT INFORMATION OF THE AGENCY YOU ARE REPORTING TO. WE WILL NOT LOOK UP THE INFORMATION ON YOUR BEHALF.

NON-DRIVING CHARGES IN WA STATE

DV | MIP | CPS | FAMILY COURT | ETC.


Email/scan clear pictures of the following to

support@affinitycounseling.net:
  1. Photo ID  
  2. All court docs, if applicable. (If pre-trial, it is important to let us know about any pending charges if you haven't already).
  3. The front AND back of your insurance card, if applicable.
    If on WA State Medicaid (Molina, Community Health Plan of WA, Coordinated Care), send front and back of your ProviderOne card, as well. Please note: we no longer accept Amerigroup.
  4. Probation / attorney / referent information.

WASHINGTON RESIDENT CONVICTED OF OREGON DUII

  1. Obtain an evaluation from a certified Alcohol and Drug Evaluation Specialist (ADES) in the county you received the ticket.
  2. Inform ADES you will be attending treatment at our agency so they can send us the appropriate documents.
  3. Email/scan clear pictures of the following to
    support@affinitycounseling.net:
    1. Photo ID 
    2. The front AND back of your insurance card, if applicable.
      If on WA State Medicaid (Molina, Community Health Plan of WA, Coordinated Care), send front and back of your ProviderOne card, as well. Please note: we no longer accept Amerigroup.
    3. ADES / attorney / referent information.
 

HOW TO OBTAIN YOUR WASHINGTON STATE DRIVING RECORD


WASHINGTON RESIDENTS
  1. Go to www.dol.wa.gov/driverslicense
  2. Under “How do I?” (pink box to the right of the screen) click “Buy a copy of my driving record”
  3. Under "Buy a copy online or by mail", click “Log in or join License eXpress”. This will take you to License eXpress, which will ask you to sign up for their service, or log in if you have an existing account. Once logged in, you will pay a small fee and request the FULL driving record, which will be emailed to you directly. This email can then be forwarded to support@affinitycounseling.net.

 OREGON AND OTHER NON-WA RESIDENTS
 *IMPORTANT: A Washington Drivers License number is assigned to you at the time of the infraction. You will need to retrieve this number before requesting your record. Read on to find out how:
  1. Call the WA Department of Licensing at (360) 902-3900 and let them know that you are from out-of-state, had a driving offense in Washington, and that you need your WA Drivers License (WDL) number.
  2. Once you have obtained your WDL number, follow steps 1-3 for Washington residents above.
 Please note: the Department of Licensing (DOL) sometimes requires out-of-state residents to request their record via mail. If this is the case, follow these steps:
  1. Go to www.dol.wa.gov/driverslicense
  2. Under “How do I?” (pink box to the right of the screen) click “Buy a copy of my driving record”
  3. Under "Buy a copy online or by mail", click the "Driving Record Request form" link
  4. Print, fill out (be sure to select FULL record), and mail in the request form to the DOL.
 This method unfortunately takes the longest, however, we have no control over DOL requirements. If you were asked to mail in your request, please let us know and we may be able to schedule your appointment 10-14 days out to allow enough time for your record to arrive by your appointment date, as long as you have submitted the rest of your required documents. If your record has not arrived at least 24 hours prior to your appointment, you will need to reschedule.