Alcove Addiction Recovery for Women Application Form

Please be detailed in your answers, as the more information we have the better we will be able to serve you. All appointments must be taken care of before you can be given an admission date, and no appointments will be allowed within the first 2 weeks of entering the program.  We are a non-medical facility, therefore any client presenting with a serious illness will not be able to attend treatment until all medical issues are resolved and you have clearance from your Doctor. If you are on probation or have any legal paperwork, we need a copy of these faxed to us prior to giving you an admission date.  Alcove Addiction Recovery for Women reserves the right to refuse admission to clients it deems inappropriate for its programs.