Admissions Forms

Download & Submit Application for Admission

Instructions to Submit Forms

  1. Download and complete the form(s).
  2. Complete the forms directly on your computer in the fillable text areas provided, digitally sign and save.
  3. Submit completed and signed forms through the Secure Website Online Form Submission below. OR
  4. Submit in person or via fax submission.


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    Questions? Contact Us

    144 Faith Home Road, Greenwood, South Carolina 29649
    (864)223-0694 (Office) | (864)223-3825 (Fax)

    Applications by Phone Hours

    Monday – Sunday: 6:00 AM – 11:00 PM
    Saturday: 9:00 AM – 4:00PM

    Admissions Office Hours

    Monday – Saturday: 9:00 AM – 5:30 PM
    Sunday: 9:00 AM – 4:00 PM

    Take the First Step to Freedom

    Begin your program of recovery by speaking to an Admissions Specialist or by completing an online application.
    Don’t Wait, Get Help Today!