Download Forms

Downloading and completing the following forms saves time when you visit our office.  Email us at  if you have problems finding the form you need.

The following forms are in Adobe PDF format.

  Complete Intake Packet - Ridgeland
 Authorization For Release of Protected Health Information to Third Persons 


Insurance We Honor

In Network Insurance

  • Aetna
  • Blue Cross Blue Shield of Mississippi
  • Blue Cross Blue Shield Out of State Plans
  • Cigna Behavioral Health


  • United Behavioral Health (UBH)
  • Mississippi Professional Health Network
  • Aenta


A Bridge to Recovery is in the process of becoming providers for a number of other companies so if your carrier is not listed it does not mean we do not accept your insurance. A number of carriers will do what is called a "Single Case Agreement" which allows a "Out of Network" provider to see a client and will pay the in network rate.

Bookstore Recommendations

Hazelden’s Book Store

CLICK HERE for Hazelden Books and Resources

Here is a list of recommended resources.

•  Receive Today's Gift a daily e-mail meditation
•  Hazelden Books and Categories
•  Hazelden medallions listing
•  Hazelden's Jewelry and Gifts feature page.
•  Twenty-Four Hours a Day book
•  The Little Red Book
•  Language of Letting Go book
•  Addictive Thinking -Second Edition
•  Alcoholics Anonymous The Big Book
•  Codependent No More
•  Treatment Resources for the providers
•  The Twelve Step Prayer Book
•  Keep It Simple
•  Touchstones
•  A Woman's Spirit
•  Alcoholism and Drug Use Assessment/Evaluation Is it addiction?
•  Betrayal Bonds
•  Out of the Shadows
•  Silently Seduced
•  Life Without Ed
•  Eating Out of the Light of the Moon


Mississippi Links

AA of Mississippi
Area 37 (Mississippi) Web Site of Alcoholics Anonymous

NA of Mississippi
NA is a nonprofit fellowship or society of men and women for whom drugs had become a major problem.  If you are new to our program please come to a meeting and see us.  Narcotics Anonymous is a program that works. We help each other stay off of drugs and become productive members of society again.  After coming to NA we realized we were sick people.  We suffered from a disease from which there is no known cure.  It can, however, be arrested at some point, and recovery is then possible.


Mississppi Alanon Family Groups


Other Information for Substance Abuse and Chemical Dependency 


Substance Abuse & Chemical Dependency
A.A. World Services, Inc.
475 Riverside Drive at West 120th St., 11th Floor
New York, NY 10115
(212) 870-3400
Narcotics Anonymous (NA)
PO Box 9999
Van Nuys, California USA 91409
Al-Anon Family Group Headquarters, Inc
1600 Corporate Landing Parkway
Virginia Beach, VA 23454-5617
Telephone: (757) 563-1600
Friends and families of problem drinkers find understanding and support at Al-Anon and Alateen meetings.
Adult Children of Alcoholics (ACA)
P.O. Box 3216
Torrance, CA 90510
(310) 534-1815
Adult Children of Alcoholics is a recovery program for adults whose lives were affected as a result of being raised in an alcoholic or other dysfunctional family. It is based on the success of Alcoholics Anonymous and employs its version of the Twelve Steps and Twelve Traditions.
Other 12- Step Information for Sex Addiction
Sex Addicts Anonymous (SAA)
P.O. Box 70949
Houston, TX 77270
(713) 869-4902
SAA is a fellowship of men and women who share their experience, strength and hope with each other so they may overcome their sexual addiction and help others recover.
Sexual Compulsives Anonymous (SCA)
P.O. Box 1585, Old Chelsea Station
New York, NY 10011
1-800 / 977-HEAL
Sexual Compulsives Anonymous is a fellowship of men and women who share their experience, strength and hope with each other, that they may solve their common problem and help others to recover from
sexual compulsion.
Sexaholics Anonymous (SA)
P.O. Box 111910
Nashville, TN 37222-1910
(615) 311-6230
Sexaholics Anonymous is a fellowship of men and women who share their experience, strength and hope with each other that they may solve their common problem and help others recover.  The only requirement for membership is a desire to stop lusting and become sexually sober and help others achieve sexual sobriety.  SA defines any form of sex with one’s self or with partners other than the spouse as addictive and destructive.  Sexaholics Anonymous is for those who know they have no other option but to stop.
Sex and Love Addicts Anonymous (SLAA)
Fellowship-Wide Services
1550 NE Loop 410 Ste. 118
(210) 828-7900
Sex and Love Addicts Anonymous, or S.L.A.A., is a program for anyone who suffers from an addictive compulsion to engage in or avoid sex, love, or emotional attachment.
S-Anon/S-Ateen International Family Groups
P.O. Box 11242 Nashville, TN 37222-1242
(615) 833-3152
S-Anon is a program of recovery for those who have been affected by someone else’s sexual behavior based on the twelve steps and twelve traditions of Alcoholics Anonymous.
ISO of COSA • 9219 Katy Freeway, Suite 212 • Houston TX 77024
(866) 899-COSA (2672)
COSA is a twelve-step recovery program for men and women whose lives have been affected by compulsive sexual behavior.
The website of Dr. Patrick Carnes, leader in the sexual addiction field, has extensive books, materials and direction for those seeking
help with sexual addiction or sexual offending.
The Society for the Advancement of Sexual Health is a national organization of professionals trained in the treatment of sexual addiction and sexual offending.  The website contains articles, helpful links and a database of therapists and treatment programs listed state by state in the United States and internationally.
The International Institute for Trauma and Addiction Professionals provides formal training to professionals in the treatment of sexual addiction.  The website offers general education, resources, a therapist locator to find a CSAT (Certified Sex Addiction Therapist) in your area and information on relevant workshops and events.
Visit this website to take the sexual addiction screening test (SAST), which is designed to assist in the assessment of sexually compulsive behavior which may indicate the presence of sex addiction or sexual addiction risk assessment (SARA), an anonymous and private sex addiction self-assessment. SARA compares your answers with thousands of other sex addicts who have preceded you in treatment, allowing you the opportunity to compare your life with the lives of others who share the same problem. (The Association of Partners of Sex Addicts Trauma Specialists)
APSATS is a non-profit organization dedicated to the professional training and certification, public education, research and advocacy for treatment of sex addiction-induced trauma.