Aviv Recovery

236 Clearfield Ave Suite 205 Virginia Beach, VA 23462

Who are you seeking support for? *

For myself

For my spouse/partner

For my child

For another family member

For my friend or colleague

What type of addiction or behavior is causing concern right now? *

Alcohol

Substance Abuse

Mental Health

(You may choose more than one)

What insurance provider do you have? (If known) *

Example: Medicaid, Aetna, Cigna, Blue Cross Blue Shield . We also accept direct payment.

What is your Zip code? (this helps us know that we are reaching people in our area) *

What is your Full Name? *

Date of birth? *

What is your best phone number? *

What is your best email address? *

I agree to the terms & conditions provided by Aviv Recovery, and by providing my phone number, I agree to receive text messages from Aviv Recovery.

NEXT

© Copyright 2026 Aviv Recovery -All rights reserved