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APPLICATION

Click Screening for Admission Application 
to Recovery Residence 

 

Click Roads to Recovery Consent Form for the Release of Confidential Alcohol or Drug Information

 

 

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CLICK HERE to download a printable version of our Screening for Admission Application.

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NOTE: We are a non-clinical peer recovery support and addiction recovery
management program. We currently do not accept any forms of insurance. 

 

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ADMITTED TO THE RESIDENTIAL PROGRAM?

 

WHAT TO BRING:

  • Clothing – casual attire; whatever job-related clothing if needed and/or applicable;
    no clothing or accessories associated with alcohol or other drugs are permitted

  • Personal toiletries – we will help with some items if possible on a case-by-case basis

  • Picture ID

  • Any prescription or OTC medicine(s) – bring at least one week supply; these will be dispensed by house manager

  • Personal electronic(s) – cell phone, laptop, tablet, charging cables, etc.

  • Musical instrument – please give your coach a heads up for larger instruments that take up more space in consideration of space available in the house

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ABOUT CLOTHING:

  • R2R’s dress code is casual. Please be mindful of the message you want to portray about yourself via your clothing.

  • Excessively revealing clothing is not allowed. If in doubt, check it out.

  • Clothing for different roles is encouraged (professional, casual, athletic, relaxing).

  • Clothing that depicts alcohol, other drugs, tobacco, sex, and/or violence, or is otherwise deemed inappropriate by staff is not permitted.

  • Articles deemed inappropriate will be kept secure by R2R until your departure. 

 

WHAT TO LEAVE AT HOME:​

  • Illegal substances

  • Expensive jewelry or other valuables

  • Pocketknives or weapons of any kind

  • Mouthwash products or other products containing alcohol.
     

Note: Upon checking in, our staff will examine your belongings. Any items listed above
will be confiscated and kept secure by R2R until your departure.

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Feel free to call our office to check on the status of your application.

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If you have any questions please contact us between the hours
of 9:30am - 4:30pm Monday through Thursday,
or Friday 9:30am - 3:00pm
at (434) 455-0053.

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