On-LineApplication Process

You can now complete an application online thru our Patient Portal.  Simply complete the request form below or call us at 844-548-7627

Patient Portal Access Request

Please take the time to fill out the information below.

Manual Application Process

  1. Click on buttons above 

  2. Complete application and supporting documents

  3. Download and save to your desktop

  4. Re-open documents and E-Sign if capable,  or print and manually sign. 

  5. Scan and email forms to intake@mycssl.com, or use Upload feature on this page ->

Call 844-Liv-Sobr / 844-548-7627

Email at contactus@mycssl.com

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