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We Are Here To Help

Transform. Restore. Recover.

Complete your application today for help and admittance to our Christian Rehab Program in Florida

1. Fill out the application below
2. Follow up with a call to desired campus
3. Arrange for an intake interview

IMPORTANT NOTICE:

Although we offer a free Faith-based recovery program; a non-refundable, processing fee in the amount of $100.00 will be payable via either cash or credit card ONLY UPON NOTIFICATION OF ACCEPTANCE INTO PROGRAM to cover administrative costs of admission. NO CHECKS ACCEPTED

Intake Application

ALL FIELDS MUST BE COMPLETED. FAILURE TO DO SO WILL RESULT IN THE DELAY OR DENIAL OF YOUR APPLICATION.

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