Application for Assessment
If you have completed residential addiction treatment within the last year, please complete this form either online, or download the application and fax or email the form. Also please look at our Admissions and Expectations page.
Fill out the form below.
Thank you for completing the first part of the application process.
We will call you or your counsellor to schedule an assessment.
Or Download the Application
Download the Application for Assessment
Two Options to Submit the Application:
1. Fax: 780-429-3459
2. Email: firstname.lastname@example.org