Apply to The Next Step Recovery

Apply to join our recovery community by completing the form below. We'll contact you shortly to discuss your application.

Personal Information

Full Name*

Email*

Phone

Your primary recovery goals*

Why are you interested in The Next Step Recovery?

Preferred move-in date

Please describe your recovery or treatment history

Primary substance of choice*

Name*

Relationship

Phone*

Currently on probation, parole, or bond?