I'm new and recently had so many questions about what would happen when I went, I thought it might be useful to others to hear about my experience. I know not all clinics are the same, but there are many things they must follow to be acredited by SAMHSA. First I called the 800# and then the local clinic called me back to ask me questions. These were about my use. Was I going to be be self pay or insurance. The only insurance they take is Medicaid. I may be able to get reimbursed by my insurance but I haven't called them. I have a feeling they will tell me I have to see one of their providers and they all have waiting lists. They ask what you want to use, Methadone, Suboxone or Vivotrol. I find it interesting that it is your choice. She made me an intake appt. for the following week which was yesterday. She told me it would take 2-3 hours and it did. I was there for 2 1/2 hours. First you fill out a stack of papers which ask about your drug use and medical history. I handed that in then went to wait. I read thru the handbook they gave me while I waited about 10 minutes. She then came out and gave me a mini tour. In the waiting room is a screen with a number pad next to it. She had given me my 4 digit code. You punch your number in and there may be a message there for you to see your counselor but it's mostly to check in for your meds. Then she showed me the line you would get into that brings you to 3 doors with lights above them. They are either red or green. If green, you go into a small room with a window and the nurse on the other side to get your dose. I had to go in and talk to the nurse and tell her what meds I'm taking and then go pee in a cup. I brought that back to her and she explained that in the beginning, Monday through Saturday I get my dose but Saturday they also give you one to take home for Sunday. I was surprised at this as I thought newbies would never get any to take home. There will come a time when I will get them for a week. After that, I went to wait to see the counselor. This was about 15-20 minutes. He was nice. He asked me many of the same questions that I filled out on the other paperwork and some new ones about my family history etc. He explained that I need to purchase a lockbox for my Sunday dose. You don't have your box, you don't get to take it home. He also talked about missing appointments and if you don't call. Miss 3 and they give you a lower dose. They start everyone out at the same low dose and taper up. The nurse had told me I would be uncomfortable in the beginning. This kind of bums me out but uncomfortable is better then full blown WD. Ill let you know. The counselor told me since they urine tested me my next one would be in March. They won't kick me out for being dirty. They almost expect it! Crazy right? But to be honest with them about my use. I think I was a little boring to him as they ask you if you've ever been arrested or prostitution or any risky behavior and I hadn't. I told him I had gone into some bad parts of town where my white face sticks out and the act of buying it is risky. My Dr. appt is Friday and I have to drive an hour there. Then I have to go back to the clinic for my first dose. The nurse told me I don't have to be in full blown withdrawal to see him either but should be uncomfortable. There is that word again. They set me up with 4 group sessions starting next week. I don't know when my individual ones are. He asked me if I had a preference as to a man or woman and I don't so he will be my counselor going forward. The reason I have to travel so far to see the Dr. Is there onsite one quit. This is temporary. So this is it for now. I will update as it unfolds.