Apply for Support

Financial Aid

Offering financial aid to assist families with treatment and intervention, striving to remove potential financial barriers in finding recovery.

Name

First Name

Last Name

Phone

(###)

###

####

Please be assured that none of these questions are intended to disqualify you. They are simply meant to help us better understand how we can best support you and your loved one. Our goal is to provide comprehensive and effective services to assist you and your family throughout the entire recovery process.

Are you in search of support for Intervention services or treatment services for your loved one?

Regarding treatment, are you or your loved one:

Are you involved in our family support program?

If answer to question above is "No", are you willing to commit to 4 months of family programming with The Family Recovery Foundation?

Who are you seeking support for?

If for a family member, have they ever received treatment before? If so, did they participate in aftercare? Did they discharge successfully?

Please explain

Have they ever AMA'd (left against medical advice)from treatment?

Have you, if a family member, ever participated in recovery for yourself?

Are you aware of any mental health diagnosis? If so, please explain. If not, mark N/A.

Are you seeking:

Financial Aid

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Connected by Recovery.
Fortified with Knowledge.
United in Faith.

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Financial Aid

Join The Family Recovery Foundation Newsletter

Connected by Recovery.Fortified with Knowledge.United in Faith.

Site Links

Learn More

Connected by Recovery.
Fortified with Knowledge.
United in Faith.