RESIDENT APPLICATION
By submitting this application, SPSL staff will be notified of your interest in our program and a member of our staff will be in contact with you shortly. Please note, applications are accepted on a first come, first serve basis.
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First Name:
Last Name:
Gender:
Male
Female
Date of Birth (mm/dd/yyyy):
Current Phone:
Email:
Referred to SPSL By:
Desired Sober House Location:
Minnesota
Colorado
Requested Move-In Date (mm/dd/yyyy):
Sobriety Date (mm/dd/yyyy):
Current or Most Recent
Treatment Facility:
Choose:
449recovery
A Better Today Recovery
A Forever Recovery
A New Path
A Way Out
Aaron Casoli
Abbott Northwestern Hospital
Acadia Healthcare
Adult Rehabilitation Center of The Salvation Army
Adult Teen Challenge
AiR
Alana Sasaki
Alina Lodge
Alliance Wellness Clinic Inc
Alltyr Clinic
Alpha 180
Alta Mira
American Addiction Centers - Solutions
Andrew Rintels
Andrew Rintels
Andrew Small- Tribal Court Judge
Any Length Retreat
Arbor Place Inc.
Arms Acres
Arrowhead Lodge
Ashley Addiction Treatment
Ashley Valley Wilderness
AspenRidge Recovery
Augsburg
Avalon Midway Outpatient
Avera McKennen
Awakenings Rehabilitation
Baja Del Sol
Balboa Horizons
Banyan House- Family First Adolescent Services
Bayshore Retreat
Beachcomber Rehabilitation
Beauterre
Behavioral Health of the Palm
Behavioral Healthcare Providers
Bella Monte Recovery
Best Drug Rehabilitation
Betty Ford Clinic
Black Bear Lodge
Bluff Plantation
Boulder Integrated Health
Bradford Health Services
Brazos Recovery Services
Bryan Independence Center
Burkwood Treatment Facility
Burning Tree
C.A.R.E Willmar
Calvary Addiction Recovery Center
Capstone Treatment Center
Caron Foundation
Caron Renaissance
Caron Texas
Casa Colina
CeDar
Cedar Ridge Treatment Center
Chatsworth Pavilion
Cirque Lodge
Clarity Family Consulting
Claudia Black Young Adult Center
CMC Berkshires
Cochran Recovery Services
Collaborative Counseling
Community Health Initiatives
Connctions Counseling
Connections Counseling
Cottonwood de Tucson
Courage to Change
Creative Care Malibu
Cumberland Heights
Dellwood Recovery Center
Delray Recovery Center
Denver Recovery Center
Destin Recovery Center
Discover Center
Douglas Place
Drew Horowitz and Associates
Driftless Recovery
Eastwood Community Clinic
Elevate for Recovery and Wellness
Elite Recovery
Elk Family Reflections
Elk Mountain Academy
Elsa Kraus
Emily Program
English Mountain Recovery
Fairview
Fellowship Club
Fellowship Hall
Forterus
Foundation House
Foundations Recovery Network
Four Circles Recovery
Frre
Gate House Academy
Gateway
Geisinger Marworth
Genesis House
Glenbeigh
Graywolf Ranch
Hanley Center at Origins
Harmony Foundation
Haven Chemical Health Systems "Paul's Place"
Hazelden CC
Hazelden Chaska
Hazelden Chicago
Hazelden Children's Program
Hazelden HCYF
Hazelden Maple Grove
Hazelden Naples
Hazelden Oregon
Hazelden Tribeca12
His House
HopeWell
Huss Center
Hybrid Behavioral Health
I.R.T.S. Livingston Res Care
Insight Intensive at Gold Lake
Internet
Into Action Recovery Centers
Jaywalker Lodge
Jim Stolz
Journey Pure
Keystone
Kinnic Falls
Kodiak Recovery
L.E. Phillips
La Hacienda
La Paloma
Lakeshore Residential Recovery
Lakeview Health
Last Resort
Latitudes New Beginnings
Legacy Outdoor Adventures
Liberalis
Life Healing Santa Fe
Life Skills Authorities
Livio Healthcare-Mobile Urgent Care
Lucida Treatment Center
Marc Hertz Consulting
Marworth
Mayo Clinic
McLean Ambulatory Treatment Center
McShin Foundation
Menninger
Mercy Hospital
Meridian Behavioral Health
Michaels House
Milestones at Onsite
Mind Springs (Eagle & Vail)
Mirror Lake Recovery
MN Adult & Teen Challenge
Montecatini Treatment Center
Morningside Recovery
Mountain Side
Mountain Springs Recovery
Muir Wood
New Beginnings Adolescent Recovery Center
New Beginnings at Waverly
New Creations For Women
New Directions For Women
New Found Life
New Found Life of Delray Beach
New Life House
New Life House
New Life Lodge
New Roads Treatment Centers
New Way House
Newport Academy
Next Chapter Treatment Center
North Bound Treatment Services
Northstar Regional
Northstar Transitions
Northwest Passage
NU Way House
NUWAY St. Paul Counseling Center
Nystrom & Associates, LTD
Ocean Recovery
Oceanfront
Oliver-Pyatt Centers
One Twelve
Open Sky Wilderness
Origins Recovery Center
Oxford Treatment Center
Pacific Quest
Paradigm Malibu
Park Avenue
Pasadena Villa
Paul's Place
Pavillon
Peaks Recovery Centers
Pine Grove Behavioral Health
Pine Grove Next Step
Poplar Springs Hospital
Positive Sobriety Institute
Prairie Care
Prarie Ridge
Premier Biotech
Prescott House
PRIDE
Progress Valley
Project Turnabout
Psych Recovery
Ramsey County Mental Health
Ranch at Dove Tree
Rebecca's Residence
Recovery Centers of Arkansas
Recovery Ways
Red Mountain Sedona
Red Oak Recovery
Red Rock Recovery
Redemption House
RedPoint Center
Regions ADAP
Retreat At Lancaster County
River Ridge Treatment Center
Riverplace Counseling
Rogers BH
Rogers Memorial Hospital
Rosecrance
Rosewood
Royal Life Centers
Safe Harbor
Saint Mary's Hospital & Rehabilitation
Sante Center For Healing
Seabrook House
Second Nature
Serenity Foundation of Texas
Shadow Mountain Recovery Aspen
Shadow Mountain Recovery Center
Shadow Mountain Recovery Colorado Springs
Shoshanna Koch
Sierra Tucson
Silver Hill Hospital
Skywood Recovery
Sober Escorts, Inc.
Solid Landings Behavioral Health
South Metro Human Services
sovereign
Spero Recovery Center
St Joseph Intake - Jenny
St. Joes
St. Joseph IOP - Elizabeth Trister
STC Addiction and Wellness Center
Step Up: Augsburg
Stevens County Minnesota
Still Waters of Cumberland Heights
Stout Street Foundation
Summer Sky Treatment Center
Summit Achievement
Summit BHC
Summit View Grand Junction CO
Sundown Ranch
Swift River
Talbott Recovery
Tallgrass
Tapestry
The Addiction Recovery Hub
The Arbor
The Bridge to Recovery
The Foundry Treatment Center
The Meadows
The Orchid
The Ranch
The Recovery Village at Palmer Lake
The Refuge
The Retreat
The Retreat at Lancaster County
The Ridge
The Right Door
The Willows at Red Oak
Tim Winchell
Tim Winchell
Timberline Knolls
Trails Momentum
Tranquility Woods
Transformations Treatment Center
Transition Arches
Transverse Counseling & Consulting
Triangle Center
Turning Point
Turning Point Louisiana
Turning Winds Academic Institutes
Turquoise Lodge
Twelve Oaks
Twin Town
Two Dreams Outer Banks
Two Wolves Group
Valley Hope of Parker
Victory Addiction Recovery Center
Vinland
Visons Adolescent Treatment Centers
Voyage Center for Recovery
Walgreen Pharmacy Grand Avenue
Wasatch Crest Recovery
Washington County
Wayside House
Webster Place At Farnum Center
Wellcome Manor Family Services
West Pines
Wilderness
Wilderness Treatment Center
Willow Haven
Willow Place
WinGate Wilderness Therapy
YellowBrick: Addiction & Trauma Treatment
YRC - Valley View Hospital
Other Current or Most Recent
Treatment Facility:
Counselor's Name:
Counselor's Phone: