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RESIDENCY APPLICATION

Recovery Resident Application


Recovery applications are available to individuals with thirty (30) days of sobriety, verified by an approved rehabilitation center or program sponsor. However, all applications will be reviewed on a case-by-case basis. All applicants require an in-person interview and review of housing rules and regulations before entry. Applicants who do not meet admission requirements or are unwilling to comply with recovery rules, resident responsibilities, and the drug testing policy will not be admitted. We encourage you to reach out to us during business hours with any questions and follow-up. We strive to contact all applications submitted online within 24-48 hours. However, intake time is not included and varies.

Admission Date
Day
Month
Year
Birthday
Day
Month
Year
Multi-line address
Do You Own a Vehicle?
Yes
No

NOTE: Please provide staff with DL, registration, and car insurance paperwork. Copies will go in your file

Do you identify as someone who struggles with drugs and/or alcohol?
Yes
No
Do you plan on working a program of recovery while at Humbled Hearts Recovery (12 Step based)?
Yes
No
Have you completed an IOP program?
Yes
No
Are you attending or will you be attending an IOP/OP Program?
Yes
No
Are you currently under the care of a physician?
Yes
No
Are you currently working?
Yes
No

Now is the time to seek the help you’ve been searching for; now is the time to find hope. Reach out to our compassionate and professional staff here at Humbled Hearts Recovery today.  Let us join you on your journey to a life that is totally free from addiction and its impact.

CONTACT US

info@humbledheartsrecovery.com

(305) 778-0490

Monday - Friday: 9:00 AM - 4:30 PM

25 SE 2nd Avenue, Ste 550 #2029
Miami, FL 33131

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