Request Program Placement

Take the first step toward recovery. Whether you're seeking help for yourself or a loved one, we're here to assist with placement into faith-based rehabilitation programs.

Get Started

Fill out this brief form and we'll contact you to discuss next steps. This service is available to everyone, regardless of court involvement.

Privacy Notice: Please do not submit sensitive medical details or confidential legal case information through this form. We will contact you to discuss next steps.

What Happens Next?

Once we receive your request, a member of our team will contact you to discuss your situation, answer questions, and explore program placement options that may be appropriate for you or your loved one.

Confidential & Respectful

All inquiries are handled with discretion and respect. We understand that seeking help takes courage, and we honor that by treating every individual with dignity.