GPS Recovery

Apply Below

Begin your journey to recovery: Apply now for a new start in a supportive and empowering environment.

Begin Your Journey Today

1 Call Us

We will make it simple.

2 Application

Start the process.

3 Sobriety

Transform your life.

Find Your Way

Fill Out Our Application Below

Ready to take the next step towards a positive change? Our application is straightforward and confidential. Filling it out is the first move towards joining our supportive community at GPS Recovery. Here, you'll find the resources and support you need for a successful recovery journey. Start filling out the application below to embark on this transformative path.

First Name

Last Name

Date of Birth

Gender

Age

Phone Number

Name of Insurance Provider

Are you in treatment? If so, where....

Name of Primary Therapist or Case Manager

Email of Primary Therapist or Case Manager

What is your drug(s) of choice?

When is the last time you used drugs or alcohol?

What is your current recovery plan?

Have you been in recovery in the past? If so, what was the longest length of sobriety you have sustained?

Have you ever lived in a Recovery House before? If so, when and where?

List of Prescription Meds you are prescribed

Do you have any co-occurring disorders, such as behavioral or mental health illnesses? If so, what diagnosis(s) have you been given?

Do you have any communicable diseases? If so, what? (This would not prevent you from being accepted into the program, but we do have to know).

Are you currently on Probation, Parole, Drug Court, or have any charges pending? If so, for what?

Do you have any felonies? If so, what was the offense and when did this occur?

Have you ever been accused of or convicted of any violent crimes? If so, what happened?

Have you ever been convicted of arson?

Have you ever been accused of or convicted of a sex crime or are you on Megan’s Law?

Have you ever had any suicide attempts or struggle with cutting? If so, when was the most recent occurrence?

Do you struggle with any eating disorders?

Do you have any physical limitations or health issues we need to be aware of?

If accepted, do you have the finances or funding needed to move in?

Will you be attending outpatient services while living at GPS Recovery? (PHP, IOP, OP, etc...) If so, where?

Requested move in date?

How did you hear about us?

"Everyone thinks of changing the world, but no one thinks of changing himself." - Leo Tolstoy

GPS Recovery

Why Choose Us?

"GPS gave me structure and got me back on my feet financially. They helped me to regain my life skills and capture my will back..im forever grateful for what they helped me acheive."

Tim R

Former Resident

Take The first step today

Start fighting today for your tomorrow.

GPS Recovery

GPS Recovery

Apply Below

Begin Your Journey Today

1

Call Us

We will make it simple.

2

Application

Start the process.

3

Sobriety

Transform your life.

Find Your Way

Fill Out Our Application Below

"Everyone thinks of changing the world, but no one thinks of changing himself." - Leo Tolstoy

GPS Recovery

Why Choose Us?

Take The first step today

Start fighting today for your tomorrow.

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